Beacon Clinic – Mental Health Counselor, NPI 1194803734

Beacon Clinic is a healthcare provider. based in Port charlotte, Florida. specializing in Mental Health Counselor. The organization holds a License No. NP2596452 (FL). The NPI Number for Beacon Clinic is 1194803734

Main info

Organization
Name
Beacon Clinic
NPI
1194803734
Phone
(941) 629-7855
Address
3821 TAMIAMI TRL # D
Authorized Official
MS. NOEL E HOLDSWORTH I DIRECTOR ARNP
Enumeration Date
1 November 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Beacon Clinic

  • Brother's Fish House, 3821, Tamiami Trail, Central Park, Port Charlotte, Charlotte County, Florida, 33952, United States

    PORT CHARLOTTE, FL 339528377

    Phone: (941) 629-7855

    Fax: (941) 629-9589

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33952)

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Reviews

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Frequently asked questions

Where can patients find Beacon Clinic's NPI?
You can confirm Beacon Clinic with NPI 1194803734; it appears in the national provider directory.
Does this profile mean Beacon Clinic is currently active?
Yes — Beacon Clinic appears active in the national provider directory.
Can you summarize Beacon Clinic's specialty in plain language?
Clinically, the directory lists Beacon Clinic with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What location shows for Beacon Clinic?
We surface Port Charlotte, Florida for Beacon Clinic based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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