Beacon Counseling Center LLC
Organization Active NPI Mental Health Counselor · Saint Joseph, MI
NPI 1114218807 · NPPES record last updated Apr 29, 2011
Key facts
- NPI
- 1114218807
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 6801089570 (MI)
- Legal business name
- BEACON COUNSELING CENTER LLC
- Practice address
- 3665 S Lakeshore Dr
3665 South Lakeshore Drive
Saint Joseph, MI 49085-8277 - Phone
- (269) 429-9000
- NPI assigned
- Apr 28, 2011
- Organization subpart
- No
Authorized official
- Name
- Mrs. Marla Jean Hutchinson, LMSW
- Title
- Clinical Therapist
- Phone
- (269) 429-9000
Practitioners 2
-
Marla Hutchinson, MSW
-
Larry Brian Feldman, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110427000785 | MI | Part B Supplier - Clinic/Group Practice | 8224213764 |
Receives reassigned benefits from 1 practitioner Practice locations: Saint Joseph, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 6801089570 | MI | Yes |
Addresses
Primary practice location
3665 S Lakeshore Dr
3665 South Lakeshore Drive
Saint Joseph, MI 49085-8277
Mailing address
3665 S Lakeshore Dr
3665 South Lakeshore Drive
Saint Joseph, MI 49085-8277
Phone (269) 429-9000
Other providers in Saint Joseph, MI
- Ashley Barrios
- Margaret Barta
- Brielle Bashore-Harris
- Crystal Bauer
- Judy Baute
- Tawan Kaithep Beaumont
- David Bebawy
- Gregory Gerald Beck
- Sherry Ellen Becker
- Erin K Beckman
All providers in Saint Joseph, MI · Mental Health Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.