Organization Active NPI

Beacon Counseling Services

  • Marriage & Family Therapist
  • Beverly, MA
National Provider Identifier
1023529203
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1684 Issued in MA
Legal business name
BEACON COUNSELING SERVICES
Practice address
140 Elliott St Ste 5
Beverly, MA 01915-3220
Phone
(978) 473-1346
NPI assigned
Oct 16, 2017
Last updated
Oct 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Marian B Vance, LMFTNPI 1275910416
Title
Marriage Family Therapist
Phone
(978) 473-1346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1684 MA Primary

Addresses

Primary practice location

140 Elliott St Ste 5
Beverly, MA 01915-3220

Mailing address

11 Bruce LN
Wenham, MA 01984-1403
Phone (978) 473-1346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240305001098 MA Part B Supplier - Clinic/Group Practice 9830534445 Receives reassigned benefits from 2 practitioners
Practice locations: Beverly, MA

National Provider Directory

National Provider Directory

Locations

140 Elliott St
Ste 5
Beverly, MA 01915
Phone (978) 473-1346

900 Cummings Ctr
Ste 408U
Beverly, MA 01915
Phone (978) 473-1346

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1023529203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BRUCE LN",
            "city": "WENHAM",
            "state": "MA",
            "postal_code": "019841403",
            "telephone_number": "978-473-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ELLIOTT ST STE 5",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019153220",
            "telephone_number": "978-473-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MARRIAGE FAMILY THERAPIST",
        "authorized_official_telephone_number": "978-473-1346",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "1684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.