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BEACON LIGHT MENTAL HEALTH LLC NPI 1801482641


NPI Information

NPI: 1801482641
Provider Name: BEACON LIGHT MENTAL HEALTH LLC
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 06D2206336

Address:
550 W HIGHWAY 105 STE 100
MONUMENT, CO
ZIP 80132
Phone: (719) 373-5336
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BEACON LIGHT MENTAL HEALTH LLC is a nurse practitioner in Monument, CO. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. BEACON LIGHT MENTAL HEALTH LLC NPI is 1801482641. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

550 W HIGHWAY 105 STE 100
MONUMENT, CO
ZIP 80132-119
Phone: (719) 373-5336
Fax: (949) 695-2184

The provider's authorized official is Ross Ledgerwood .
The authorized official title is Np and has the following contact phone number (303) 956-0413.

The CLIA number assigned to this NPI record is 06D2206336 - other - treatment center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2020 and was last updated on 3/25/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerYes

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: 4/28/2024

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