NPIMap

Organization Active NPI

Beacon of Wellness, Incorporated

  • Community/Behavioral Health Agency
  • Trenton, NJ
National Provider Identifier
1811413883
Registry record updated Aug 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
44SC05349200 Issued in NJ
Legal business name
BEACON OF WELLNESS, INCORPORATED
Practice address
40 W Lafayette St
Trenton, NJ 08608-2011
Phone
(609) 784-4682
Fax
(609) 699-6744
NPI assigned
Aug 21, 2017
Last updated
Aug 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2017

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

Authorized official

Name
Mrs. Madinah Lynn Brown-Day, LCSWNPI 1629476692
Title
Executive Director
Phone
(609) 784-4682

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 44SL05979800 NJ
Community/Behavioral Health Agency 251S00000X 44SL06293100 NJ
Community/Behavioral Health Agency 251S00000X 44SL06288800 NJ
Community/Behavioral Health Agency 251S00000X 44SC05349200 NJ Primary

Addresses

Primary practice location

40 W Lafayette St
Trenton, NJ 08608-2011

Mailing address

1636-44 Route 38, Beacon of Wellness, Inc.
#334
Lumberton, NJ 08048
Phone (609) 784-4682

Other identifiers 2

IdentifierTypeStateIssuer
0509060MedicaidNJ
1629476692OtherNJINDIVIDUAL NPI # FOR MADINAH BROWN-DAY

National Provider Directory

National Provider Directory

Locations

40 W Lafayette St
Trenton, NJ 08608
Phone (609) 784-4682

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503273600000",
    "number": "1811413883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636-44 ROUTE 38, BEACON OF WELLNESS, INC.",
            "address_2": "#334",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "08048",
            "telephone_number": "609-784-4682",
            "fax_number": "609-699-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W LAFAYETTE ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086082011",
            "telephone_number": "609-784-4682",
            "fax_number": "609-699-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON OF WELLNESS, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2017-08-21",
        "status": "A",
        "authorized_official_last_name": "BROWN-DAY",
        "authorized_official_first_name": "MADINAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-784-4682",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SL05979800",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SL06293100",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SL06288800",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05349200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0509060",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI # FOR MADINAH BROWN-DAY",
            "identifier": "1629476692",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.