=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790636900
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TERRY BECKETT PHD, LPC, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/04/2026
-----------------------------------------------------
Last Update Date | 02/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2264 MCGILCHRIST ST SE STE 100
-----------------------------------------------------
City | SALEM
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97302-1008
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-949-2062
-----------------------------------------------------
Fax | 503-581-7799
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2264 MCGILCHRIST ST SE STE 100
-----------------------------------------------------
City | SALEM
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97302-1008
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-949-2062
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COUNSELOR
-----------------------------------------------------
Name | DR. TERRY BECKETT
-----------------------------------------------------
Credential | PH.D.
-----------------------------------------------------
Telephone | 503-949-2062
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------