BEACON COUNSELING CENTER LLC (NPI# 1114218807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114218807 |
| Entity Type | Organization |
| Organization Name | BEACON COUNSELING CENTER LLC |
| Practice Address |
3665 S Lakeshore Dr 3665 South Lakeshore Drive Saint Joseph MI 49085-8277 |
| Practice Telephone | 2694299000 |
| Mailing Telephone | 2694299000 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-29 |
| Authorized Official Name | MRS. MARLA JEAN HUTCHINSON (CLINICAL THERAPIST) |
| Authorized Official Telephone | 2694299000 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6801089570 | MI | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Beacon Counseling Center LLC | 3801 E Florida Ave. Suite 400, Denver, CO 80210 |
| Street Address |
3665 S LAKESHORE DR 3665 SOUTH LAKESHORE DRIVE |
| City | SAINT JOSEPH |
| State | MI |
| Zip Code | 49085-8277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457802654 | Eva M Borcherding | Massage Therapist | 3665 S Lakeshore Dr, Saint Joseph, MI 49085-8277 | 2016-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215396569 | Andrew M Fisher | Counselor | 2400 Frederick Blvd, Suite 407, Saint Joseph, MO 64506 | 2016-02-15 |
| 1386064251 | Grace Marie Carder | Counselor | 3500 Village Dr, G130, Saint Joseph, MO 64506-4979 | 2014-04-18 |
| 1114349636 | Jody Deboer | Counselor | 3500 Village Dr # Gl30, Saint Joseph, MO 64506-4979 | 2014-01-17 |
| 1144653130 | Alicia Victoria Demontegnac | Counselor | 4085 Ravina Ter, Saint Joseph, MI 49085-9655 | 2013-08-14 |
| 1255622148 | Gayron W Haywood | Counselor | 3106 Pickett Rd, Saint Joseph, MO 64503-1426 | 2011-04-26 |
| 1275830093 | Shannon L Groh | Counselor | 830 Pleasant St Ste 201, Saint Joseph, MI 49085-2279 | 2011-02-14 |
| 1811049729 | Don-nee Elizabeth German | Counselor | 2600 Morton Ave, Saint Joseph, MI 49085-2141 | 2007-01-18 |
| 1912054651 | Joyce Elaine Mcvey | Counselor | 1018 W Saint Maartens Dr, Suite100, Saint Joseph, MO 64506-2988 | 2007-01-04 |
| 1629097134 | Marie Gene Arnold | Counselor | 2746 Fairleigh Ter, Saint Joseph, MO 64506-2870 | 2006-07-18 |
| 1508801465 | Berrien Mental Health Authority | Counselor | 2500 Niles Rd Ste 7, Saint Joseph, MI 49085-3268 | 2006-06-17 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
Please comment or provide details below to improve the information on BEACON COUNSELING CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.