Organization Active NPI

Beacon Therapy Services LLC

  • Clinical Social Worker
  • Las Cruces, NM
National Provider Identifier
1063348712
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BEACON THERAPY SERVICES LLC
Practice address
715 E Idaho Ave
St 2B
Las Cruces, NM 88001
Phone
(575) 448-1503
NPI assigned
Jun 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Madison J Duran, LCSW, RPT
Title
Founder
Phone
(575) 448-1503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

715 E Idaho Ave
St 2B
Las Cruces, NM 88001

Mailing address

715 E Idaho Ave
St 2B
Las Cruces, NM 88001

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1063348712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E IDAHO AVE",
            "address_2": "ST 2B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E IDAHO AVE",
            "address_2": "ST 2B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88001",
            "telephone_number": "575-448-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-21",
        "status": "A",
        "authorized_official_last_name": "DURAN",
        "authorized_official_first_name": "MADISON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "575-448-1503",
        "authorized_official_credential": "LCSW, RPT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.