Beacon of Change Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BEACON OF CHANGE COUNSELING LLC

Practice address

3021 E 98TH St Ste 110
Carmel, IN 46280-2942

Phone

(317) 530-3050

NPI assigned

Mar 10, 2021

Last updated

Mar 10, 2021By 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

Kathryn Rader, LMHCNPI 1245361385

Title

Owner

Phone

(317) 530-3050

Specialties & licenses 3

Addresses

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.

• Kathryn Joan Rader, MFT

  • Marriage & Family Therapist
  • Carmel, IN
  • NPI 1245361385
  NPD Authorized official

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1669057717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 E 98TH ST STE 110",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462802942",
            "telephone_number": "317-530-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 E 98TH ST STE 110",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462802942",
            "telephone_number": "317-530-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON OF CHANGE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "RADER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-530-3050",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Beacon Health LLC
• Brianna Bean, AU.D.
• Rachel Beauchamp, MOTR
• Beautiful You Family Dental
• Erin L. Beaver
• Kristen Melissa Beavers, D.D.S.

• Mental Health Counselor in Carmel, IN
• Providers in Carmel, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.