THE BEACON CLINIC LLC
NPI 1316787351
Speech-Language Pathologist in Baltimore, MD

Active since May 28, 2024
600 WYNDHURST AVE STE 245C, BALTIMORE, MD 21210(443) 228-3458(443) 292-6938 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2025, Aug 7, 2025, Apr 13, 2025 and 1 more (4 updates tracked since 2025).

About The Beacon Clinic Llc NPPES

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

THE BEACON CLINIC LLC (NPI 1316787351) is a healthcare organization registered as a speech-language pathologist in Baltimore, Maryland and active in the NPI registry since May 2024. The organization lists Lubna Sameh Nabulsi, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1316787351
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameTHE BEACON CLINIC LLC
Location Address600 WYNDHURST AVE STE 245CBaltimore, MD 21210-2436
Mailing Address600 Wyndhurst Ave Ste 245cBaltimore, MD 21210-2436 · (443) 228-3458 · Fax (443) 292-6938
Fax(443) 292-6938
Organization SubpartNo
Authorized OfficialLubna Sameh NabulsiClinical Director · (443) 228-3458
Enumeration DateMay 28, 2024
Last NPPES UpdateFebruary 23, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
✔ NPI 1316787351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
600 WYNDHURST AVE STE 245C, Baltimore, MD 21210

Other Names 1

Doing Business AsThe Beacon Clinic Llc

Other Identifiers 5

Medicaid228256900MD
OtherZW870000MD · Carefirst
Other009732369MD · Unitedhealthcare
Other8452974MD · Aetna
Other0315614MD · Cigna

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Llc 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 LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Qualified Speech Language Pathologist
NPI 1497205132
600 WYNDHURST AVE STE 245C
Baltimore, MD 21210
(443) 228-3458
✔ Accepts MedicareSame address

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 LLC's NPI number?

The NPI number for The Beacon Clinic LLC is 1316787351. It was assigned to this organization in the NPPES registry on May 28, 2024.

Where is The Beacon Clinic LLC located?

The Beacon Clinic LLC is located at 600 Wyndhurst Ave Ste 245C, Baltimore, MD 21210. The listed phone number is (443) 228-3458.

What is The Beacon Clinic LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is The Beacon Clinic LLC enrolled in Medicare?

Yes. The Beacon Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Beacon Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to The Beacon Clinic LLC. 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 LLC was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.