Active NPI
Beacon Community Wellness Corp
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
National Provider Identifier
1447134648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- BEACON COMMUNITY WELLNESS CORP
- Practice address
- 14201 SW 120TH St Ste 108-109
Miami, FL 33186-7661 - Phone
- (786) 238-7579
- Fax
- (786) 238-7598
- NPI assigned
- Aug 1, 2025
- 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
- Roberto Balmaseda
- Title
- President
- Phone
- (305) 733-5714
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
14201 SW 120TH St Ste 108-109
Miami, FL 33186-7661
Mailing address
14201 SW 120TH St Ste 108-109
Miami, FL 33186-7661
Phone (786) 238-7579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14221 SW 120th St
Ste 223
Miami, FL 33186
Phone (786) 690-2296
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Miami, FL
- NPI 1033536131
-
- Behavior Analyst
- Miami, FL
- NPI 1417566787
-
- Behavior Analyst
- Miami, FL
- NPI 1871051607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788480000000",
"number": "1447134648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14201 SW 120TH ST STE 108-109",
"city": "MIAMI",
"state": "FL",
"postal_code": "331867661",
"telephone_number": "786-238-7579",
"fax_number": "786-238-7598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14201 SW 120TH ST STE 108-109",
"city": "MIAMI",
"state": "FL",
"postal_code": "331867661",
"telephone_number": "786-238-7579",
"fax_number": "786-238-7598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEACON COMMUNITY WELLNESS CORP",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-01",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A",
"authorized_official_last_name": "BALMASEDA",
"authorized_official_first_name": "ROBERTO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-733-5714"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.