Organization Active NPI

Beacon Mental Health Associates of Van Wert L.L.C.

  • Medical Specialty Clinic/Center
  • Cleveland, OH
National Provider Identifier
1417864877
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

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.

Verify at the official NPI Registry.