The Beacon Program

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P99603 Issued in NY

Legal business name

THE BEACON PROGRAM

Practice address

12 E 44TH St FL 4
New York, NY 10017-3624

Phone

(646) 559-9019

NPI assigned

Apr 27, 2016

Organization subpart

No

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

Authorized official

Name

Pamela Gold

Title

President

Phone

(646) 559-9019

Specialties & licenses 1

Addresses

Other names 1

• Molly Carmel LCSW PLLC Former legal business name

Tax ID family

Molly Carmel LCSW PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Molly Carmel LCSW PLLC

  • Clinical Social Worker
  • New York, NY
  • NPI 1245698430
  NPD tax ID

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1306291331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E 44TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E 44TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173624",
            "telephone_number": "646-559-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEACON PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-559-9019"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P99603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Molly Carmel LCSW PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.