Beacon Mental Health – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1629080965

Beacon Mental Health is a healthcare provider. based in Kansas city, Missouri. specializing in Mental Health Clinic/Center (Including Community Mental Health Center). The NPI Number for Beacon Mental Health is 1629080965

Main info

Organization
Name
Beacon Mental Health
NPI
1629080965
Phone
(816) 468-0400
Address
3100 NE 83RD ST
Authorized Official
CHRISTINA MARIE HOLM CHIEF QUALITY & COMPLIANCE OFFICER
Enumeration Date
13 August 2006
Last Update Date
30 January 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Beacon Mental Health

  • 3100, Northeast 83rd Street, Kansas City, Clay County, Missouri, 64119, United States

    SUITE 1001

    KANSAS CITY, MO 641194460

    Phone: (816) 468-0400

    Fax: (816) 468-6635

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-01-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-04-30 (773 days ago).

Enrollment records

1

Earliest due date

2024-04-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040126000910OClinic/Group PracticeMO2024-04-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

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 64119)

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Reviews

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Frequently asked questions

Does Beacon Mental Health share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Beacon Mental Health uses 1629080965.
Can I rely on Beacon Mental Health being an active provider?
As of the registry snapshot, Beacon Mental Health is marked active.
What is Beacon Mental Health's primary classification?
Mental Health Clinic/Center (Including Community Mental Health Center) is the headline specialty for Beacon Mental Health here. Clinical services aligned with this taxonomy classification.
What area does Beacon Mental Health serve?
Beacon Mental Health's listing highlights Kansas City, Missouri; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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