Organization Active NPI

Beacon Light Counseling, PLLC

  • Mental Health Counselor
  • Blowing Rock, NC
National Provider Identifier
1831028810
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BEACON LIGHT COUNSELING, PLLC
Practice address
502 Bishops Ridge Pkwy # 28606
Blowing Rock, NC 28605-9641
Phone
(704) 389-0508
NPI assigned
May 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Andrew Sydney, LCMHCNPI 1649717125
Title
Owner
Phone
(617) 529-7475

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

502 Bishops Ridge Pkwy # 28606
Blowing Rock, NC 28605-9641

Mailing address

5059 Downing Dr
Fort Mill, SC 29708-6518
Phone (617) 529-7475

National Provider Directory

National Provider Directory

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": "1778803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1831028810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5059 DOWNING DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086518",
            "telephone_number": "617-529-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 BISHOPS RIDGE PKWY # 28606",
            "city": "BLOWING ROCK",
            "state": "NC",
            "postal_code": "286059641",
            "telephone_number": "704-389-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON LIGHT COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "SYDNEY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-529-7475",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blowing Rock, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.