Beaconstar Counseling, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

002112 (LPC) Issued in MO

Legal business name

BEACONSTAR COUNSELING, LLC

Practice address

3032 S Fremont Ave
Suite C200
Springfield, MO 65804-4210

Phone

(417) 882-7827

NPI assigned

Feb 3, 2017

Last updated

Feb 3, 2017By 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

Sherry Lynn Peck, LPC, CRADC

Title

Managing Member/Owner

Phone

(417) 882-7827

Specialties & licenses 2

Addresses

Locations

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.

• Rebecca Ann Dalton, LPC

  • Addiction (Substance Use Disorder) Counselor
  • Springfield, MO
  • NPI 1285126235
  NPD (past)

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1710425236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 S FREMONT AVE",
            "address_2": "SUITE C200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044210",
            "telephone_number": "417-882-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 S FREMONT AVE",
            "address_2": "SUITE C200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044210",
            "telephone_number": "417-882-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACONSTAR COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "417-882-7827",
        "authorized_official_credential": "LPC, CRADC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MO",
            "license": "002112 (LPC)",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MO",
            "license": "002112 (LPC)",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayada Home Health Care, Inc.
• Tumurchudur Bayanbileg
• Fernando Alada Bayanin
• Nona Theresa Perez Bayanin
• Be Well Chiropractic Center LLC
• Andilynn Leigh Beadles, ATC
• Zachary Beam, D.O.
• Alexis Kathryn Bean, MD
• Cheri Beard
• Courtney Elizabeth Beard, M.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Springfield, MO
• Providers in Springfield, MO by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.