BEACON BEHAVIORAL HEALTH SERVICES LLC NPI 1629122262

NPI Information

  • NPI: 1629122262
  • Provider Name: BEACON BEHAVIORAL HEALTH SERVICES LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Doing Business As: BEACON BEHAVIORAL HEALTH SERVICES
  • Address: 154 COOPER RD
    SUITE 801
    WEST BERLIN, NJ
    ZIP 08091
  • Phone: (856) 767-4690

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NPI Details

BEACON BEHAVIORAL HEALTH SERVICES LLC is a mental health counselor in West Berlin, NJ. BEACON BEHAVIORAL HEALTH SERVICES LLC NPI is 1629122262. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Beacon Behavioral Health Services.

The provider's business location address is:

154 COOPER RD
SUITE 801
WEST BERLIN, NJ
ZIP 08091-128
Phone: (856) 767-4690
Fax: (856) 767-4695

The provider's authorized official is Nicholas Gregory Mcclary .
The authorized official title is Executive Director and has the following contact phone number (908) 391-9241.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 8/22/2020.

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
1101YM0800XCounselorMental HealthNEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10062294MEDICAIDNEW JERSEY

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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