Gentle Beacon, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GENTLE BEACON, LLC

Practice address

101 Foundry Dr Ste 1200
West Lafayette, IN 47906-3446

Phone

(765) 299-6807

Fax

(765) 637-7402

NPI assigned

Oct 22, 2018

Organization subpart

No

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

Authorized official

Name

Christopher Hutcheson, LCSW

Title

Steward

Phone

(765) 299-6807

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1871069344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FOUNDRY DR STE 1200",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479063446",
            "telephone_number": "765-299-6807",
            "fax_number": "765-637-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FOUNDRY DR STE 1200",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479063446",
            "telephone_number": "765-299-6807",
            "fax_number": "765-637-7402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3218 Daugherty Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479093997",
            "country_code": "US",
            "telephone_number": "765-299-6807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENTLE BEACON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "HUTCHESON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "STEWARD",
        "authorized_official_telephone_number": "765-299-6807",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Michael Gastineau
• Joseph Patrick Gavin
• David Allen Gay
• Joleigh Geise
• Victoria Gelb, FNP-BC
• Rebecca Gentry
• Donald Irwin George Jr., DDS, MS
• Katherine A Georgeoff Mohr, MSW, LCSW
• Luke Gerges, D.O.
• Andrea Gerke

• Clinical Social Worker in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.