The Beacon Clinic LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

THE BEACON CLINIC LLC

Doing business as

The Beacon Clinic LLC

Practice address

600 Wyndhurst Ave Ste 245C
Baltimore, MD 21210-2436

Phone

(443) 228-3458

Fax

(443) 292-6938

NPI assigned

May 28, 2024

Organization subpart

No

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

Authorized official

Name

Lubna Sameh Nabulsi, B.S., M.S., CCC-SLPNPI 1497205132

Title

Clinical Director

Phone

(443) 228-3458

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• The Beacon Clinic LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

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

• Lubna Nabulsi, B.S., M.S., CCC-SLP

  • Speech-Language Pathologist
  • Baltimore, MD
  • NPI 1497205132
  Medicare reassignment NPD Authorized official
• Lewis Raphael Espiritu, M.S., CF-SLP

  • Speech-Language Pathologist
  • St Petersburg, FL
  • NPI 1659230266
  NPD (past)

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1316787351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WYNDHURST AVE STE 245C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102436",
            "telephone_number": "443-228-3458",
            "fax_number": "443-292-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WYNDHURST AVE STE 245C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102436",
            "telephone_number": "443-228-3458",
            "fax_number": "443-292-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEACON CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "NABULSI",
        "authorized_official_first_name": "LUBNA",
        "authorized_official_middle_name": "SAMEH",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "443-228-3458",
        "authorized_official_credential": "B.S., M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228256900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "ZW870000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "009732369",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "8452974",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0315614",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Beacon Clinic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.