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

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BEACON MENTAL HEALTH ASSOCIATES OF VAN WERT L.L.C.

Practice address

15797 Mendon Rd
Ohio City, OH 45874-9237

Phone

(419) 362-5597

Fax

(888) 728-4024

NPI assigned

Apr 11, 2026

Last updated

Apr 11, 2026By 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

Dr. Thomas Russell, DNP, CNP, FNP, PMHNPNPI 1881186971

Title

Ceo

Phone

(419) 362-5597

Specialties & licenses 1

Addresses

Tax ID family

Beacon Mental Health Associates of Van Wert LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

  • Medical Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1417864877
  NPD tax ID

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.

• Thomas Lee Russell, DNP, FNP-C, PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Middle Point, OH
  • NPI 1881186971
  NPD Authorized official

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

{
    "created_epoch": "1775865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775865600000",
    "number": "1609719095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15797 MENDON RD",
            "city": "OHIO CITY",
            "state": "OH",
            "postal_code": "458749237",
            "telephone_number": "419-362-5597",
            "fax_number": "888-728-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15797 MENDON RD",
            "city": "OHIO CITY",
            "state": "OH",
            "postal_code": "458749237",
            "telephone_number": "419-362-5597",
            "fax_number": "888-728-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON MENTAL HEALTH ASSOCIATES OF VAN WERT L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-11",
        "last_updated": "2026-04-11",
        "certification_date": "2026-04-11",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-362-5597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, CNP, FNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Kay Harter
• Pamela S Jennings, LSW
• Ohio City Corporation (Ohio City EMS)
• Salimah D Price
• Cyrus Taylor

• Psychiatry Physician in Ohio City, OH
• Providers in Ohio City, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2026; 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.