Organization Active NPI

Beacon Community Wellness Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
National Provider Identifier
1447134648
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Sep 4, 2026

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20250829001183 FL Part B Supplier - Clinic/Group Practice 9931600079 Receives reassigned benefits from 3 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.