Active NPI
Beacon Mental Health Associates of Van Wert L.L.C.
- Medical Specialty Clinic/Center
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- BEACON MENTAL HEALTH ASSOCIATES OF VAN WERT L.L.C.
- Practice address
- 850 Euclid Ave Ste 8196798
Cleveland, OH 44114-3306 - Phone
- (419) 362-5597
- NPI assigned
- Aug 24, 2026
- Last updated
- Aug 24, 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
- Thomas Russell, DNP, CNP, FNP, PMHNP
- Title
- Ceo
- Phone
- (419) 406-0067
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
850 Euclid Ave Ste 8196798
Cleveland, OH 44114-3306
Mailing address
850 Euclid Ave Ste 8196798
Cleveland, OH 44114-3306
National Provider Directory
National Provider Directory- Tax ID family
- Beacon Mental Health Associates of Van Wert LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Ohio City, OH
- NPI 1609719095
Locations
850 Euclid Ave
Ste 8196798
Cleveland, OH 44114
Phone (419) 362-5597
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
- Middle Point, OH
- NPI 1881186971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787529600000",
"number": "1417864877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 EUCLID AVE STE 8196798",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441143306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 EUCLID AVE STE 8196798",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441143306",
"telephone_number": "419-362-5597"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEACON MENTAL HEALTH ASSOCIATES OF VAN WERT L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "419-406-0067",
"authorized_official_credential": "DNP, CNP, FNP, PMHNP"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.