Active NPI
Beacon Behavioral Outpatient Jackson LLC
- Substance Use Disorder Rehabilitation Hospital Unit
- Jackson, MS
National Provider Identifier
1265352439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Hospital Unit
- Legal business name
- BEACON BEHAVIORAL OUTPATIENT JACKSON LLC
- Practice address
- 5898 Ridgewood Rd Ste a
Jackson, MS 39211-2661 - Phone
- (225) 810-4040
- Fax
- (225) 810-4050
- NPI assigned
- Jul 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexis Thomason
- Title
- VP of RCM
- Phone
- (504) 910-6056
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | Primary |
Addresses
Primary practice location
5898 Ridgewood Rd Ste a
Jackson, MS 39211-2661
Mailing address
14707 Perkins Rd
Baton Rouge, LA 70810-2216
Phone (225) 810-4040
National Provider Directory
National Provider DirectoryLocations
14707 Perkins Rd
Baton Rouge, LA 70810
5898 Ridgewood Rd
Ste A
Jackson, MS 39211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784246400000",
"number": "1265352439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14707 PERKINS RD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708102216",
"telephone_number": "225-810-4040",
"fax_number": "225-810-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5898 RIDGEWOOD RD STE A",
"city": "JACKSON",
"state": "MS",
"postal_code": "392112661",
"telephone_number": "225-810-4040",
"fax_number": "225-810-4050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEACON BEHAVIORAL OUTPATIENT JACKSON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-17",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A",
"authorized_official_last_name": "THOMASON",
"authorized_official_first_name": "ALEXIS",
"authorized_official_title_or_position": "VP OF RCM",
"authorized_official_telephone_number": "504-910-6056"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "276400000X",
"taxonomy_group": "",
"desc": "Rehabilitation, Substance Use Disorder Unit",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.