Active NPI
Beacon of Hope Therapeutics
- Psychiatric/Mental Health Nurse Practitioner
- Dayton, OH
National Provider Identifier
1396689592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BEACON OF HOPE THERAPEUTICS
- Practice address
- 1 Elizabeth PL Ste Eb1160
Dayton, OH 45417-3445 - Phone
- (937) 559-1688
- NPI assigned
- Apr 17, 2026
- Last updated
- Jul 19, 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
- Nicholine Efundem Orock, DNP, PMHNP-BC
- Title
- Managing Member
- Phone
- (937) 559-1688
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1 Elizabeth PL Ste Eb1160
Dayton, OH 45417-3445
Mailing address
1 Elizabeth PL Ste Eb1160
Dayton, OH 45417-3445
Phone (937) 559-1688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1 Elizabeth Pl
Ste EB1160
Dayton, OH 45417
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Dublin, OH
- NPI 1972267110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784419200000",
"number": "1396689592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ELIZABETH PL STE EB1160",
"city": "DAYTON",
"state": "OH",
"postal_code": "454173445",
"telephone_number": "937-559-1688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ELIZABETH PL STE EB1160",
"city": "DAYTON",
"state": "OH",
"postal_code": "454173445",
"telephone_number": "937-559-1688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEACON OF HOPE THERAPEUTICS",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-17",
"last_updated": "2026-07-19",
"certification_date": "2026-07-19",
"status": "A",
"authorized_official_last_name": "OROCK",
"authorized_official_first_name": "NICHOLINE",
"authorized_official_middle_name": "EFUNDEM",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "937-559-1688",
"authorized_official_credential": "DNP, PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
- Be Sure Services
- Alyssa Morgan Beach, PA-C
- Barbara A Beach, PSY.D.
- Elisha Joel Beachy, BSSW, LSW
- Beacon of Hope LLC
- Beacon Orthopaedics & Sports Medicine LTD (Orthopaedic Institute of Dayton DBA OrthoAlliance of Ohio)
- Beacon Specialized Living Ohio Inc (Beacon Specialized Living)
- Susan Beall, BSSW MSW ACSW LISW
- Austin Beam
- Caitlin Beam, FNP-C, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.