Organization Active NPI

Beacon Behavioral Solution LLC

  • Mental Health Counselor
  • Minneapolis, MN
National Provider Identifier
1417715582
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BEACON BEHAVIORAL SOLUTION LLC
Practice address
1911 Nicollet Ave Ste 1
Minneapolis, MN 55403-3747
Phone
(612) 323-3880
NPI assigned
Mar 12, 2024
Last updated
Mar 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Layla Ahmed
Title
Ceo
Phone
(612) 323-3880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1911 Nicollet Ave Ste 1
Minneapolis, MN 55403-3747

Mailing address

1911 Nicollet Ave Ste 1
Minneapolis, MN 55403-3747

National Provider Directory

National Provider Directory

Locations

1911 Nicollet Ave
Ste 1
Minneapolis, MN 55403
Phone (612) 323-3880

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1417715582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 NICOLLET AVE STE 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 NICOLLET AVE STE 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033747",
            "telephone_number": "612-323-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON BEHAVIORAL SOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "LAYLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-323-3880"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.