Healthcare Provider Details

I. General information

NPI: 1912637687
Provider Name (Legal Business Name): MEREDITH BECKER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2022
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8623 E 32ND ST N
WICHITA KS
67226-3317
US

IV. Provider business mailing address

8623 E 32ND ST N
WICHITA KS
67226-3317
US

V. Phone/Fax

Practice location:
  • Phone: 316-869-2888
  • Fax: 316-425-5550
Mailing address:
  • Phone: 316-869-2888
  • Fax: 316-425-5550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: