THE BEACON CLINIC, PLLC
NPI 1023357175
Psychologist - Clinical in Saint Paul, MN
About The Beacon Clinic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE BEACON CLINIC, PLLC (NPI 1023357175) is a healthcare organization registered as a clinical in Saint Paul, Minnesota and active in the NPI registry since February 2013. The organization lists Heather P Libbey, Licensed Psychologist/director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Beacon Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to The Beacon Clinic, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is The Beacon Clinic, PLLC's NPI number?
The NPI number for The Beacon Clinic, PLLC is 1023357175. It was assigned to this organization in the NPPES registry on February 10, 2013.
Where is The Beacon Clinic, PLLC located?
The Beacon Clinic, PLLC is located at 790 Cleveland Ave S Suite 201, Saint Paul, MN 55116. The listed phone number is (651) 805-1752.
What is The Beacon Clinic, PLLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is The Beacon Clinic, PLLC enrolled in Medicare?
Yes. The Beacon Clinic, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Beacon Clinic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to The Beacon Clinic, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for The Beacon Clinic, PLLC was last updated on August 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# The Beacon Clinic, Pllc · NPI 1023357175
Clinical organization in Saint Paul, Minnesota. Organization record, active in the CMS NPPES registry since February 10, 2013.
## Identity
- **NPI:** 1023357175 (Entity type: Organization)
- **Enumerated:** February 10, 2013
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Heather Libbey, LICENSED PSYCHOLOGIST/DIRECTOR
## Practice location
- **Address:** 790 CLEVELAND AVE S, SUITE 201, Saint Paul, MN 55116-3858
- **Phone:** (651) 805-1752
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 7, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1023357175) · Data from the CMS NPPES public registry.