Beacon Wellness Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BEACON WELLNESS CENTER LLC

Doing business as

Beacon Wellness Center

Practice address

21258 E Rittenhouse Rd Ste 104
Queen Creek, AZ 85142-9340

Phone

(480) 306-4127

NPI assigned

May 20, 2020

Last updated

May 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cameron Dupree Trotter

Title

Ceo

Phone

(480) 375-5937

Specialties & licenses 3

Addresses

Other names 1

• BEACON WELLNESS CENTER Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1386267797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21258 E RITTENHOUSE RD STE 104",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851429340",
            "telephone_number": "480-306-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21258 E RITTENHOUSE RD STE 104",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851429340",
            "telephone_number": "480-306-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "TROTTER",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "DUPREE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-375-5937"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bbhservices.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure database",
            "address_1": "21258 E Rittenhouse Rd Ste 104",
            "city": "Queen Creek",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851429340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BEACON WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Batts, MS CCC-SLP
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• Brandon Lee Becken, O.D.
• David Joel Beckstead, PHD, PSYCHOLOGIST

• Mental Health Clinic/Center (Including Community Mental Health Center) in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.