Beacon of Strength Mental Health Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BEACON OF STRENGTH MENTAL HEALTH SERVICES, LLC

Practice address

205 W 2ND St
Duluth, MN 55802-1928

Phone

(218) 461-2118

NPI assigned

Sep 20, 2022

Organization subpart

No

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

Authorized official

Name

Donna R Olsen, LGSWNPI 1902546047

Title

Owner

Phone

(218) 461-2118

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 4

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

• Donna Rose Olsen, LICSW

  • Clinical Social Worker
  • Duluth, MN
  • NPI 1902546047
  Medicare reassignment NPD Authorized official
• Rachelle M Henkel, MSW

  • Clinical Social Worker
  • Lino Lakes, MN
  • NPI 1972186013
  Medicare reassignment NPD
• Nathaniel W Hurse, LADC #301333

  • Addiction (Substance Use Disorder) Counselor
  • Brooklyn Park, MN
  • NPI 1699034975
  Medicare reassignment NPD
• Nisreen Abdelmuti Abuhadid

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1538980370
  Medicare reassignment

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1891418406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W 2ND ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021928",
            "telephone_number": "218-461-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 2ND ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021928",
            "telephone_number": "218-461-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON OF STRENGTH MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-461-2118",
        "authorized_official_credential": "LGSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "beaconofstrength@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email adress",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email address",
            "address_1": "205 W 2nd St",
            "city": "Duluth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "558021928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "beaconofstrength@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email adress",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email address",
            "address_1": "205 W 2nd St",
            "city": "Duluth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "558021928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "beaconofstrength@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email adress",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email address",
            "address_1": "205 W 2nd St",
            "city": "Duluth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "558021928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Jon Bayer
• Shannon C Bayless, MSW, LICSW
• Bayshore Duluth Management, LLC
• Bayshore Duluth Management, LLC
• Rebekah Beach, MD
• Beacon of Strength Supportive Services
• Beacon of Strength Supportive Services, LLC
• Nicholas Beattie, PHARMD
• Chena Margaret-Filizetti Beauduy, D.O.
• Sydney Alexis Beaulieu, PA-C

• Community/Behavioral Health Agency in Duluth, MN
• Providers in Duluth, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.