Beacon Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BEACON HEALTH

Practice address

9220 Mentor Ave
Mentor, OH 44060-6412

Phone

(440) 354-9924

Fax

(440) 205-1009

NPI assigned

Jun 15, 2012

Last updated

Nov 7, 2016By 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 J Popp

Title

Cfo

Phone

(440) 639-3509

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Beacon Health2 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.

• Neighboring

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mentor, OH
  • NPI 1275588808
  NPD tax ID

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1750643649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 MENTOR AVENUE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "44060",
            "telephone_number": "440-354-9924",
            "fax_number": "440-205-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606412",
            "telephone_number": "440-354-9924",
            "fax_number": "440-205-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "POPP",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "440-639-3509"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2890000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Bauer, LPC
• Kimberly Bauer, LPCC
• Stephen A Baum, MD
• Jenna Bayer, OD
• Beacon Health
• Abigail Sarah Beal, OD
• Jennifer Beale, RPH
• Andrew Bean
• Tresa Mae Beardslee
• Jacqueline Beary

• Community/Behavioral Health Agency in Mentor, OH
• Providers in Mentor, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.