MEDICARE: JESSICA BECKA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1255930467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JESSICA BECKA LLC

Provider Business Mailing Address
First Line	:	1357 W 59TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-2101
Country	:	US
Telephone Number	:	440-622-4444
Fax Number	:	216-424-3239

Provider Business Practice Location Address
First Line	:	20620 JOHN CARROLL BLVD STE 214
Second Line	:
City	:	UNIVERSITY HEIGHTS
State	:	OH
Zip	:	44118-4540
Country	:	US
Telephone Number	:	216-408-7555
Fax Number	:	216-424-3239

Authorized Official
Title or Position	:	OWNER/EMPLOYEE
Name	:	JESSICA BECKA
Credential	:
Telephone Number	:	440-622-7444

Provider Enumeration Date	:	10/19/2020
Last Update Date	:	07/31/2025

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Directions to “JESSICA BECKA LLC ” Practice Location

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