Beacon Behavioral Health Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BEACON BEHAVIORAL HEALTH SERVICES LLC

Doing business as

Beacon Behavioral Health Services

Practice address

154 Cooper Rd
Suite 801
West Berlin, NJ 08091-9128

Phone

(856) 767-4690

Fax

(856) 767-4695

NPI assigned

Jan 22, 2007

Last updated

Aug 22, 2020By 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

Mr. Nicholas Gregory McClary Sr., MSW

Title

Executive Director

Phone

(908) 391-9241

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beacon Behavioral Health Services Doing business as

Tax ID family

Beacon Behavioral Health Services2 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 Behavioral Health Services

  • Adult Mental Health Clinic/Center
  • West Berlin, NJ
  • NPI 1649659426
  NPD tax ID

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629122262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 COOPER RD",
            "address_2": "SUITE 801",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080919128",
            "telephone_number": "856-767-4690",
            "fax_number": "856-767-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 COOPER RD",
            "address_2": "SUITE 801",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080919128",
            "telephone_number": "856-767-4690",
            "fax_number": "856-767-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCLARY",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "908-391-9241",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062294",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Atco Medical Associates, PC Dba 1St Care Medical Arts (1st Care Medical Arts)
• Atlanticare Urgent Care Physicians LLC (AtlantiCare Urgent Care Berlin Township)
• Elizabeth A Barbetta, PHARMD
• Barbara Claire Barron
• Beacon Behavioral Health Services
• Sarah Beggs, MD
• Berat Corporation (Shoprite Pharmacy #531)
• Berlin Plaza Dental Associates, L.L.P.
• Berlin Township Schools
• Derek J Billetdoux, PHARM. D.

• Mental Health Counselor in West Berlin, NJ
• Providers in West Berlin, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.