NPIMap

Organization Active NPI

Beacon House Aftercare Program

Doing business as Beacon House Aftercare

  • Substance Abuse Rehabilitation Facility
  • Louisville, KY
National Provider Identifier
1497436844
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BEACON HOUSE AFTERCARE PROGRAM
Doing business as
Beacon House Aftercare
Practice address
963 S 2ND St
Louisville, KY 40203-2211
Phone
(502) 581-0765
Fax
(502) 581-1748
NPI assigned
Jul 28, 2023
Last updated
Jul 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lee Russ Read, MA
Title
Ceo
Phone
(502) 581-0765

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

963 S 2ND St
Louisville, KY 40203-2211

Mailing address

963 S 2ND St
Louisville, KY 40203-2211
Phone (502) 581-0765

Other names 1

  • Beacon House Aftercare Doing business as

National Provider Directory

National Provider Directory

Locations

963 S 2nd St
Louisville, KY 40203
Phone (502) 581-0765

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1497436844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 S 2ND ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032211",
            "telephone_number": "502-581-0765",
            "fax_number": "502-581-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 S 2ND ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032211",
            "telephone_number": "502-581-0765",
            "fax_number": "502-581-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HOUSE AFTERCARE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "READ",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "RUSS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-581-0765",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon House Aftercare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.