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KELVETTE BEACHAM LISW
NPI 1497097125
Social Worker - Clinical in Lyndhurst, OH

Active since March 20, 2013PECOS Enrolled
5010 MAYFIELD RD STE 210, LYNDHURST, OH 44124(216) 831-2255(216) 378-3906 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelvette Beacham Lisw NPPES

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

KELVETTE BEACHAM LISW (NPI 1497097125) is an individual clinical provider in Lyndhurst, Ohio, licensed in Ohio (L1500524) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497097125
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELVETTE BEACHAMCredential: LISW
Location Address5010 MAYFIELD RD STE 210Lyndhurst, OH 44124-2692
Mailing Address26151 Lake Shore Blvd Apt 1409wEuclid, OH 44132-1156 · (216) 533-2614
Phone(216) 831-2255
Fax(216) 378-3906
Sole ProprietorNo
Enumeration DateMarch 20, 2013
Last NPPES UpdateJuly 22, 2022
NPPES CertifiedJuly 22, 2022
✔ NPI 1497097125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in OH · L1500524✔ Licensed in OH · S.0901415
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5010 MAYFIELD RD STE 210, Lyndhurst, OH 44124
Open in Google Maps ↗

Other Identifiers 1

Medicaid2871101OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelvette Beacham Lisw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kelvette Beacham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Life Bridge Therapy Services LLC
Same address
Mental Health
5010 MAYFIELD RD STE 210
Lyndhurst, OH 44124
  • Reassigned Medicare billing, Ohio enrollment
  • 2 clinicians in this Medicare group
NPI 1811510308 (216) 533-2614

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

YAASMEEN SIDDEEQA MUSLIMA IBRAHIM LCSW
Social Worker (Clinical)
5010 MAYFIELD RD STE 210
LYNDHURST, OH 44124
Cuyahoga County (216) 505-4774
MS. SUMARI GOLPHIN LSW
Social Worker
5010 MAYFIELD RD STE 210
LYNDHURST, OH 44124
Cuyahoga County (216) 402-7180
LIFE BRIDGE THERAPY SERVICES LLC
Counselor (Mental Health)
5010 MAYFIELD RD STE 210
LYNDHURST, OH 44124
Cuyahoga County (216) 533-2614

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 Kelvette Beacham's NPI number?

The NPI number for Kelvette Beacham is 1497097125. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Where is Kelvette Beacham located?

Kelvette Beacham practices at 5010 Mayfield Rd Ste 210, Lyndhurst, OH 44124. The listed phone number is (216) 831-2255.

What is Kelvette Beacham's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kelvette Beacham enrolled in Medicare?

Yes. Kelvette Beacham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelvette Beacham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelvette Beacham reassigns Medicare benefits to Life Bridge Therapy Services LLC (Lyndhurst, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelvette Beacham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelvette Beacham accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Paramount and 1 other insurer list Kelvette Beacham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelvette Beacham was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.