Beacon Recovery Residence

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

BEACON RECOVERY RESIDENCE

Practice address

3155 SW 199TH Ter
Aloha, OR 97003-2672

Phone

(503) 649-7010

NPI assigned

Oct 20, 2025

Last updated

Aug 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Meleshew Agegnehu

Title

Administrative Director

Phone

(503) 890-8171

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1942177464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 SW 199TH TER",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970032672",
            "telephone_number": "503-649-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 SW 199TH TER",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970032672",
            "telephone_number": "503-649-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON RECOVERY RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "AGEGNEHU",
        "authorized_official_first_name": "MELESHEW",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "503-890-8171"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanna Balleza, CD(DONA)
• Alexis A Barker, MT-BC
• Alyson Terry Barnes, DDS
• Jason Dion Barnes
• Mykal Ann Baron, RDH
• Marie Elizabeth Benoit
• Seth Bergman
• Alena Masumi Berkman
• Eric Berman, LPC, CADCIII, CGACII
• Catherine Bertsch

• Mental Illness Community Based Residential Treatment Facility in Aloha, OR
• Providers in Aloha, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.