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KELLY JO BEESON
NPI 1093600694
Counselor - Mental Health in Muncie, IN

Active since June 12, 2025
4622 N BROADWAY AVE, MUNCIE, IN 47303(765) 288-8862 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Jo Beeson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY JO BEESON (NPI 1093600694) is an individual mental health provider in Muncie, Indiana, licensed in Indiana (88001501A) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1093600694
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY JO BEESON
Location Address4622 N BROADWAY AVEMuncie, IN 47303-1083
Mailing Address4622 N Broadway AveMuncie, IN 47303-1083 · (765) 288-8862
Phone(765) 288-8862
Sole ProprietorNo
Enumeration DateJune 12, 2025
NPPES CertifiedJune 12, 2025
✔ NPI 1093600694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 88001501A
4622 N BROADWAY AVE, Muncie, IN 47303
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNION CHAPEL MINISTRIES
Counselor (Mental Health)
4622 N BROADWAY AVE
MUNCIE, IN 47303
Delaware County (765) 288-8862
ALICE M SAYLOR MSW
Social Worker (Clinical)
4622 N BROADWAY AVE
MUNCIE, IN 47303
Delaware County (765) 288-8862
UNION CHAPEL MINISTRIES
Counselor (Professional)
4622 N BROADWAY AVE
MUNCIE, IN 47303
Delaware County (765) 288-8862
KEELY STEVENS LMFTA
Psychologist (Counseling)
4622 N BROADWAY AVE
MUNCIE, IN 47303
Delaware County (765) 288-8862
RICKY JONES LMHCA
Counselor
4622 N BROADWAY AVE
MUNCIE, IN 47303
Delaware County (765) 288-8862
SHAWNDA FREER
Counselor (Mental Health)
4622 N BROADWAY AVE
MUNCIE, IN 47303
Delaware County (765) 288-8862
CATHERINE N SHUMATE LMHC
Counselor (Mental Health)
4622 N BROADWAY AVE
MUNCIE, IN 47303
Delaware County (765) 288-8862

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Beeson's NPI number?

The NPI number for Kelly Beeson is 1093600694. It was assigned to this individual provider in the NPPES registry on June 12, 2025.

Where is Kelly Beeson located?

Kelly Beeson practices at 4622 N Broadway Ave, Muncie, IN 47303. The listed phone number is (765) 288-8862.

What is Kelly Beeson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kelly Beeson was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.