Beacon of Hope Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BEACON OF HOPE COUNSELING LLC

Practice address

1645 Goffe St
Saint Clair, MI 48079-5111

Phone

(810) 289-2720

Fax

(810) 857-6606

NPI assigned

Nov 4, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Stacey Renae Krause, LMSWNPI 1801823208

Title

Owner/Therapist

Phone

(810) 289-2720

Specialties & licenses 2

Addresses

Other names 1

• Beacon of Hope, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Stacey Renae Krause, LMSW

  • Clinical Social Worker
  • Saint Clair, MI
  • NPI 1801823208

  MI

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1351987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1972857563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 GOFFE ST",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480795111",
            "telephone_number": "810-289-2720",
            "fax_number": "810-857-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 GOFFE ST",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480795111",
            "telephone_number": "810-289-2720",
            "fax_number": "810-857-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON OF HOPE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-04",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "810-289-2720",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon of Hope, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Saga Ahmad Abdallah
• Latrice Danielle Anderson
• Nicole Marie Ashford
• Katelyn Elizabeth Baumgart
• Adele Marie Beischer, LMSW
• Meg Ehlendt Benson, A.T.,C., CPED.
• Mary Black
• Sarina Bondy
• Bormans Inc

• All providers in Saint Clair, MI
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.