BEACON YOUTH & PREVENTION SERVICES NPI 1497205686

NPI Information

  • NPI: 1497205686
  • Provider Name: BEACON YOUTH & PREVENTION SERVICES
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Address: 3000 MARKET ST NE
    SUITE 528
    SALEM, OR
    ZIP 97301
  • Phone: (971) 600-3864

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NPI Details

BEACON YOUTH & PREVENTION SERVICES is a residential treatment facility emotionally disturbed children in Salem, OR. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. BEACON YOUTH & PREVENTION SERVICES NPI is 1497205686. The provider is registered as an organization entity type.

The provider's business location address is:

3000 MARKET ST NE
SUITE 528
SALEM, OR
ZIP 97301-882
Phone: (971) 600-3864

The provider's authorized official is Kelly Lynn Butler .
The authorized official title is Executive Director and has the following contact phone number (971) 600-3864.

The enumeration date for this NPI number is 10/11/2016 and was last updated on 10/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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