NPIMap

Organization Active NPI

Beacon Counseling Services LLC

  • Clinical Social Worker
  • East Lansing, MI
National Provider Identifier
1881745990
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BEACON COUNSELING SERVICES LLC
Practice address
5000 Northwind Dr
Suite 100
East Lansing, MI 48823-5044
Phone
(517) 505-0610
NPI assigned
Jan 15, 2007
Last updated
Nov 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Philip M Gamber, MSWNPI 1487662474
Title
Owner
Phone
(517) 505-0610

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
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

5000 Northwind Dr
Suite 100
East Lansing, MI 48823-5044

Mailing address

PO Box 23113
Lansing, MI 48909-3113
Phone (517) 505-0610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070227000401 MI Part B Supplier - Clinic/Group Practice 0749382430 Receives reassigned benefits from 5 practitioners
Practice locations: East Lansing, MI

National Provider Directory

National Provider Directory

Locations

2840 E Grand River Ave
Ste 5
East Lansing, MI 48823
Phone (517) 505-0610

5000 Northwind Dr
Ste 100
East Lansing, MI 48823
Phone (517) 505-0610

Practitioners & affiliated clinicians

Practitioners 9

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": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1881745990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23113",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489093113",
            "telephone_number": "517-505-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 NORTHWIND DR",
            "address_2": "SUITE 100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235044",
            "telephone_number": "517-505-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "GAMBER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-505-0610",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.