Beacon Behavioral Institute, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BEACON BEHAVIORAL INSTITUTE, LLC

Practice address

68 Bishop St Ste 3-3
Portland, ME 04103-2681

Phone

(207) 210-2672

NPI assigned

May 17, 2021

Organization subpart

No

Name

Maria E Grunglasse, LCPCNPI 1245400977

Title

Executive Director

Phone

(207) 210-2672

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Esmeralda Grunglasse, LMHC

  • Professional Counselor
  • Portland, ME
  • NPI 1245400977
  NPD Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 1, 2021.

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1164096988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 FALMOUTH RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051841",
            "telephone_number": "207-210-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 BISHOP ST STE 3-3",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032681",
            "telephone_number": "207-210-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON BEHAVIORAL INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "GRUNGLASSE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-210-2672",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayview Care Agency LLC
• Richard A Bazarian, MD
• Alexandra Bazinet, RDH
• Katherine Margaret Beach, M.A. CF-SLP
• Beacon Behavior
• Beacon Light Neuropsychology, LLC
• Beaconcare LLC
• Kaleigh Elizabeth Beadlecomb, PA-C
• Karen D Beal, MS, RD
• Caroline Beals, MS, OTR/L

• All providers in Portland, ME
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.