Beacon Integrated Therapies

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BEACON INTEGRATED THERAPIES

Practice address

311 Amherst CT
Vernon Hills, IL 60061-1708

Phone

(608) 320-9896

NPI assigned

Feb 20, 2020

Last updated

Oct 26, 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

Amy Kraus, SLPNPI 1518511351

Title

President, SLP

Phone

(608) 320-9896

Specialties & licenses 3

Addresses

Other identifiers 1

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.

• Amy Kraus, SLP, CCC-SLP

  • Speech-Language Pathologist
  • Vernon Hills, IL
  • NPI 1518511351
  NPD Authorized official

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1437782273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 AMHERST CT",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611708",
            "telephone_number": "608-320-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 AMHERST CT",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611708",
            "telephone_number": "608-320-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON INTEGRATED THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "KRAUS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT, SLP",
        "authorized_official_telephone_number": "608-320-9896",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE LICENSE",
            "identifier": "146014493",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juanita Diana Barron, COUNSELOR 1
• John Bartholomay, LSW
• Karlee Barton, DPT
• Anna Faith Battistello, OT/RL
• Justin G Beach
• Cindy W Bean, OT
• Emily Beaver, OTD, OTR/L
• Elizah Kathryn Becker, PA-C
• Chantel Nazari Beltran
• Doreen Diane Benjamin, PSY.D.

• Multi-Specialty Clinic/Center in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.