Blue Beacon Mental Health Counseling, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BLUE BEACON MENTAL HEALTH COUNSELING, PLLC

Practice address

4 Clymer St
Auburn, NY 13021-4710

Phone

(315) 730-7271

Fax

(315) 975-6604

NPI assigned

Jul 16, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Penelope E Lupo, LMHCNPI 1073869004

Title

Sole Member Manager

Phone

(315) 730-7271

Specialties & licenses 1

Addresses

Practitioners 1

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

• Penelope E Lupo, MS

  • Mental Health Counselor
  • Auburn, NY
  • NPI 1073869004
  NPD Authorized official

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1801634720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CLYMER ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130214710",
            "telephone_number": "315-730-7271",
            "fax_number": "315-975-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CLYMER ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130214710",
            "telephone_number": "315-730-7271",
            "fax_number": "315-975-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE BEACON MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "LUPO",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE MEMBER MANAGER",
        "authorized_official_telephone_number": "315-730-7271",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Maria Bianco, LMSW
• Scott A Biter, PA-C
• Stephanie Bizzari
• David Allen Blair, MSW, LCSW-R
• Tracy Blair
• James F. Blute III, MD
• Claire J. Bobrycki, LCSW
• Amber Michele Bocian, MS
• Melissa Hines Bock, FNP
• William M Bock, MD

• Mental Health Counselor in Auburn, NY
• Providers in Auburn, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.