BEACON BEHAVIORAL HEALTH NORTHSHORE INC
NPI 1215929211
Clinic/Center - Mental Health (Including Community Mental Health Center) in Mandeville, LA

NPI Status: Active since August 17, 2005

Contact Information

820 ASBURY DR
MANDEVILLE, LA
ZIP 70471
Phone: (985) 727-6090
Fax: (985) 727-6096

Get Directions Write a Review

  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About BEACON BEHAVIORAL HEALTH NORTHSHORE INC

This page provides the complete NPI Profile along with additional information for Beacon Behavioral Health Northshore Inc, a provider established in Mandeville, Louisiana operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1215929211 assigned on August 2005. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's former legal business name is Crescent Community Care Inc. The authorized official of this NPI record is Earl J Wilde Iii (Chairman Of The Board)

NPI
1215929211
Provider Legal Name
BEACON BEHAVIORAL HEALTH NORTHSHORE INC
Other Organization Name
CRESCENT COMMUNITY CARE INC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
820 ASBURY DR MANDEVILLE, LA 70471
Location Phone
(985) 727-6090
Location Fax
(985) 727-6096
Mailing Address
9938 AIRLINE HWY SUITE 200 BATON ROUGE, LA 70816
Mailing Phone
(225) 810-4040
Mailing Fax
(985) 727-6096
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-17-2005
Last Update Date
08-22-2020
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EARL J WILDE III

Authorized Official Title
CHAIRMAN OF THE BOARD
Authorized Official Phone
(225) 810-4040

Reviews for BEACON BEHAVIORAL HEALTH NORTHSHORE INC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215929211
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22251821822
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 8 + 2 + 1 + 8 + 2 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1215929211 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

CHARLES SYKES

Case Manager/Care Coordinator

820 ASBURY DR
MANDEVILLE, LA
ZIP 70471

(985) 674-5155

DIONELLE PITTMAN

Case Manager/Care Coordinator

820 ASBURY DR
MANDEVILLE, LA
ZIP 70471

(985) 674-5155

JARVIOUS GRAYSON

Case Manager/Care Coordinator

820 ASBURY DR
MANDEVILLE, LA
ZIP 70471

(985) 674-5155

STEPHANIE HAYDEN BSW

Case Manager/Care Coordinator

820 ASBURY DR
MANDEVILLE, LA
ZIP 70471

(985) 674-5155

CONTRINA THOMAS M.ED.

Case Manager/Care Coordinator

820 ASBURY DR
MANDEVILLE, LA
ZIP 70471

(985) 674-5155

TANESHA ROYAL MSW

Case Manager/Care Coordinator

820 ASBURY DR
MANDEVILLE, LA
ZIP 70471

(985) 674-5155

STEPHANIE BANCHS

Case Manager/Care Coordinator

820 ASBURY DR
MANDEVILLE, LA
ZIP 70471

(985) 674-5155

RANI JOSEPH MSW

Social Worker

820 ASBURY DR
MANDEVILLE, LA
ZIP 70471

(985) 674-5155

TY-NESHEIA M WILLIAMS BA

Case Manager/Care Coordinator

820 ASBURY DR
MANDEVILLE, LA
ZIP 70471

(985) 674-5155

STEPHEN GILMORE BSW, RSW

Case Manager/Care Coordinator

820 ASBURY DR
MANDEVILLE, LA
ZIP 70471

(985) 674-5155

KENDRA MARSHALL MS

Case Manager/Care Coordinator

820 ASBURY DR
MANDEVILLE, LA
ZIP 70471

(985) 674-5155

ERIC R KAFTAN MS

Case Manager/Care Coordinator

820 ASBURY DR
MANDEVILLE, LA
ZIP 70471

(985) 674-5155

SYLVIA DUNN MARK MSW

Case Manager/Care Coordinator

820 ASBURY DR
MANDEVILLE, LA
ZIP 70471

(985) 674-5155

CHRISTON CROWLEY BSW

Case Manager/Care Coordinator

820 ASBURY DR
MANDEVILLE, LA
ZIP 70471

(985) 674-5155

LINDA BELL

Case Manager/Care Coordinator

820 ASBURY DR
MANDEVILLE, LA
ZIP 70471

(985) 674-5155

NATALIE DICHARRY BA - PSYCHOLOGY

Case Manager/Care Coordinator

820 ASBURY DR
MANDEVILLE, LA
ZIP 70471

(985) 674-5155

BRIANNE LAVERGNE

Case Manager/Care Coordinator

820 ASBURY DR
MANDEVILLE, LA
ZIP 70471

(985) 674-5155

TROY OCMOND

Case Manager/Care Coordinator

820 ASBURY DR
MANDEVILLE, LA
ZIP 70471

(985) 674-5155

ROXIE SIBLEY BA - SOCIOLOGY

Case Manager/Care Coordinator

820 ASBURY DR
MANDEVILLE, LA
ZIP 70471

(985) 674-5155

PAUL MATHES BA - PSYCHOLOGY

Case Manager/Care Coordinator

820 ASBURY DR
MANDEVILLE, LA
ZIP 70471

(985) 674-5155

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215929211, enumerated as an "organization" on August 17, 2005.

The provider is located at 820 ASBURY DR MANDEVILLE, LA 70471 and the phone number is (985) 727-6090.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).