Beacon Behavioral Health Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BEACON BEHAVIORAL HEALTH SERVICES, LLC

Practice address

3044 Michigan Ave
Kissimmee, FL 34744-1210

Phone

(407) 927-9617

NPI assigned

Apr 19, 2017

Organization subpart

No

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

Authorized official

Name

Marianne LopezNPI 1740682046

Title

Ceo

Phone

(407) 927-9619

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marianne Lopez

  • Mental Health Counselor
  • Kissimmee, FL
  • NPI 1740682046
  Medicare reassignment NPD Authorized official
• Bernice Rivera

  • Mental Health Counselor
  • Kissimmee, FL
  • NPI 1417805789
  NPD (past)

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1639603335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 MICHIGAN AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441210",
            "telephone_number": "407-927-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 MICHIGAN AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441210",
            "telephone_number": "407-927-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-927-9619"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlee Bayon
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• Jesenia Bazan Moreno
• Bbehavior LLC
• Be Happy Achieve Balance Institute, LLC
• Beacon Counseling and Associates, LLC
• Janis Kathleen Beam, PTA
• Bear Assisted Living LLC
• Kimber Bear
• Ralph Anthony Bearden, D.M.D.

• Mental Health Counselor in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.