Organization Active NPI

Beacon Christian Ministries

  • Mental Health Counselor
  • Wooster, OH
National Provider Identifier
1619106150
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.0003277-SUPV Issued in OH
Legal business name
BEACON CHRISTIAN MINISTRIES
Practice address
633 Kieffer St
Wooster, OH 44691-2415
Phone
(330) 201-4074
NPI assigned
Jul 6, 2009
Organization subpart
Yes
Parent organization
BEACON COUNSELING SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Authorized official

Name
Mr. Milton Ledford, MA, LSW, LPCC-S
Title
Owner
Phone
(330) 201-4074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X E.0003277-SUPV OH Primary

Addresses

Primary practice location

633 Kieffer St
Wooster, OH 44691-2415

Mailing address

356 School CT
Wooster, OH 44691-2226
Phone (330) 201-4074

National Provider Directory

National Provider Directory
Part of
Beacon Christian Ministries

NPI Registry JSON

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1619106150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 SCHOOL CT",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912226",
            "telephone_number": "330-201-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 KIEFFER ST",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912415",
            "telephone_number": "330-201-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON CHRISTIAN MINISTRIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEACON COUNSELING SERVICES",
        "enumeration_date": "2009-07-06",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "LEDFORD",
        "authorized_official_first_name": "MILTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-201-4074",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LSW, LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0003277-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.