Active NPI
Beacon of Hope LLC
- Psychiatric/Mental Health Nurse Practitioner
- Dayton, OH
National Provider Identifier
1891688438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BEACON OF HOPE LLC
- Practice address
- 2555 S Dixie Dr Ste 201
Dayton, OH 45409-1532 - Phone
- (513) 516-9293
- Fax
- (513) 995-2281
- NPI assigned
- Jun 2, 2025
- Last updated
- Jun 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shane Klaber, PMHNP-BC
- Title
- Owner
- Phone
- (513) 516-9293
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
2555 S Dixie Dr Ste 201
Dayton, OH 45409-1532
Mailing address
3481 S Dixie Hwy Ste 267
Middletown, OH 45005-5717
Phone (513) 516-9293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2555 S Dixie Dr
Ste 201
Dayton, OH 45409
Phone (513) 516-9293
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Middletown, OH
- NPI 1578369237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751241600000",
"number": "1891688438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3481 S DIXIE HWY STE 267",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450055717",
"telephone_number": "513-516-9293",
"fax_number": "513-995-2281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 S DIXIE DR STE 201",
"city": "DAYTON",
"state": "OH",
"postal_code": "454091532",
"telephone_number": "513-516-9293",
"fax_number": "513-995-2281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEACON OF HOPE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-02",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A",
"authorized_official_last_name": "KLABER",
"authorized_official_first_name": "SHANE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "513-516-9293",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
- Be Sure Nursing Services
- Be Sure Services
- Alyssa Morgan Beach, PA-C
- Barbara A Beach, PSY.D.
- Elisha Joel Beachy, BSSW, LSW
- Beacon of Hope Therapeutics
- Beacon Orthopaedics & Sports Medicine LTD (Orthopaedic Institute of Dayton DBA OrthoAlliance of Ohio)
- Beacon Specialized Living Ohio Inc (Beacon Specialized Living)
- Susan Beall, BSSW MSW ACSW LISW
- Austin Beam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.