BEACON CLINIC, INC.
NPI 1194803734
Counselor - Mental Health in Port Charlotte, FL

Q: What is Beacon Clinic, Inc.'s NPI number?

The NPI number for Beacon Clinic, Inc. is 1194803734. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider was formerly known as Beacon Clinic.

Q: What is Beacon Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since November 01, 2006

3821 TAMIAMI TRL # D, PORT CHARLOTTE, FL 33952(941) 629-7855(941) 629-9589 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Beacon Clinic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACON CLINIC, INC. (NPI 1194803734), doing business as Beacon Clinic, is a healthcare organization registered as a mental health in Port Charlotte, Florida and active in the NPI registry since November 2006. The organization lists Noel E Holdsworth, Director, as its authorized official.

NPPES Registry Identity

NPI1194803734

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameBEACON CLINIC, INC.

Location Address3821 TAMIAMI TRL # DPort Charlotte, FL 33952-8377

Mailing Address3821 Tamiami Trl # DPort Charlotte, FL 33952-8377 · (941) 629-7855 · Fax (941) 629-9589

Phone(941) 629-7855

Fax(941) 629-9589

Organization SubpartNo

Authorized OfficialNoel E HoldsworthDirector · (941) 629-7855

Enumeration DateNovember 1, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1194803734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in FL · NP2596452

3821 TAMIAMI TRL # D, Port Charlotte, FL 33952

Open in Google Maps ↗

Other Names 1

Former Legal Business NameBeacon Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Beacon Clinic, Inc.'s NPI number?

The NPI number for Beacon Clinic, Inc. is 1194803734. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider was formerly known as Beacon Clinic.

Where is Beacon Clinic, Inc. located?

Beacon Clinic, Inc. is located at 3821 Tamiami Trl # D, Port Charlotte, FL 33952. The listed phone number is (941) 629-7855.

What is Beacon Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Beacon Clinic, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.