Organization Active NPI

Beacon Counseling

  • Adult Mental Health Clinic/Center
  • Midlothian, VA
National Provider Identifier
1679103295
Registry record updated Jun 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BEACON COUNSELING
Practice address
1519 Huguenot Rd Ste 203
Midlothian, VA 23113-2472
Phone
(804) 495-1301
Fax
(804) 302-6431
NPI assigned
Jan 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2021

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

Authorized official

Name
Katherine Albicker Wilson, LPCNPI 1629442967
Title
Owner/Therapist
Phone
(804) 495-1301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1519 Huguenot Rd Ste 203
Midlothian, VA 23113-2472

Mailing address

1519 Huguenot Rd Ste 203
Midlothian, VA 23113-2472
Phone (804) 495-1301

Other identifiers 1

IdentifierTypeStateIssuer
1629442967MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL BeaconCounselingVA.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240425003180 VA Part B Supplier - Clinic/Group Practice 1355781295 Receives reassigned benefits from 1 practitioner
Practice locations: Midlothian, VA

National Provider Directory

National Provider Directory

Locations

1519 Huguenot Rd
Ste 203
Midlothian, VA 23113
Phone (804) 495-1301

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622851200000",
    "number": "1679103295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 HUGUENOT RD STE 203",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132472",
            "telephone_number": "804-495-1301",
            "fax_number": "804-302-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 HUGUENOT RD STE 203",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132472",
            "telephone_number": "804-495-1301",
            "fax_number": "804-302-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2021-06-05",
        "certification_date": "2021-06-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ALBICKER",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "804-495-1301",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629442967",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BeaconCounselingVA.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "4402 Heidi Pl",
            "city": "Midlothian",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231123264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2021; 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.