Organization Active NPI

Beacon Pathways

  • Professional Counselor
  • Irvine, CA
National Provider Identifier
1023992211
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BEACON PATHWAYS
Practice address
18008 Sky Park Cir Ste 140
Irvine, CA 92614-6434
Phone
(949) 274-9515
NPI assigned
Aug 1, 2025
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Staci R Johnson, MA, LPCC, NBCCNPI 1619506235
Title
Supervisor/Therapist
Phone
(317) 316-2787

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

18008 Sky Park Cir Ste 140
Irvine, CA 92614-6434

Mailing address

18008 Sky Park Cir Ste 140
Irvine, CA 92614-6434
Phone (949) 274-9515

National Provider Directory

National Provider Directory

Locations

18008 Sky Park Cir
Ste 140
Irvine, CA 92614
Phone (317) 316-2787

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": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1023992211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18008 SKY PARK CIR STE 140",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146434",
            "telephone_number": "949-274-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18008 SKY PARK CIR STE 140",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146434",
            "telephone_number": "949-274-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON PATHWAYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STACI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SUPERVISOR/THERAPIST",
        "authorized_official_telephone_number": "317-316-2787",
        "authorized_official_credential": "MA, LPCC, NBCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.