Organization Active NPI

Beacon Insight Counseling

  • Community/Behavioral Health Agency
  • Warner Robins, GA
National Provider Identifier
1104188341
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CSW003584 Issued in GA
Legal business name
BEACON INSIGHT COUNSELING
Practice address
104 Whiting Way Ste 200
Warner Robins, GA 31088-8055
Phone
(478) 662-2710
Fax
(478) 333-2985
NPI assigned
Jun 13, 2012
Last updated
Jan 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Authorized official

Name
Mrs. Diana Marie Davis, LCSWNPI 1427320233
Title
Pychotherapist
Phone
(478) 662-2710

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CSW003584 GA Primary
Community/Behavioral Health Agency 251S00000X SW7900 FL

Addresses

Primary practice location

104 Whiting Way Ste 200
Warner Robins, GA 31088-8055

Mailing address

104 Whiting Way Ste 200
Warner Robins, GA 31088-8055
Phone (478) 662-2710

Other practice location 1

100 Katelyn Cir
Suite F
Warner Robins, GA 31088-6481
Phone (478) 952-5877

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120817000037 GA Part B Supplier - Clinic/Group Practice 9931355351 Receives reassigned benefits from 1 practitioner
Practice locations: Warner Robins, GA

National Provider Directory

National Provider Directory

Locations

100 Katelyn Cir
Ste F
Warner Robins, GA 31088
Phone (478) 227-4054

104 Whiting Way
Ste 200
Warner Robins, GA 31088
Phone (478) 662-2710

Practitioners & affiliated clinicians

Practitioners 1

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": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1104188341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WHITING WAY STE 200",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888055",
            "telephone_number": "478-662-2710",
            "fax_number": "478-333-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WHITING WAY STE 200",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888055",
            "telephone_number": "478-662-2710",
            "fax_number": "478-333-2985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Katelyn Cir",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310886481",
            "country_code": "US",
            "telephone_number": "478-952-5877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEACON INSIGHT COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PYCHOTHERAPIST",
        "authorized_official_telephone_number": "478-662-2710",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CSW003584",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW7900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.