BEACON LIGHT BEHAVIORAL HEALTH SYSTEMS
NPI 1366609646
Clinic/Center - Mental Health (Including Community Mental Health Center) in Warren, PA
NPI Status: Active since May 22, 2008
Contact Information
1885 MARKET ST
WARREN, PA
ZIP 16365
Phone: (814) 817-1400
Fax: (814) 817-1447
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- CLIA Number: 39D2102324
- CLIA Cert. Type: Other - MULTISITE RES. TX FACILIT
- CLIA Exp. Date: 09-20-2027
About BEACON LIGHT BEHAVIORAL HEALTH SYSTEMS
This page provides the complete NPI Profile along with additional information for Beacon Light Behavioral Health Systems, a provider established in Warren, Pennsylvania 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 1366609646 assigned on May 2008. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Beacon Light Behavioral Health Systems. The authorized official of this NPI record is Mrs. Susan R Teconchuk (Contract Manager)
- NPI
- 1366609646
- Provider Legal Name
- CHILDREN'S CENTER FOR TREATMENT AND EDUCATION
- Other Organization Name
- BEACON LIGHT BEHAVIORAL HEALTH SYSTEMS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1885 MARKET ST WARREN, PA 16365
- Location Phone
- (814) 817-1400
- Location Fax
- (814) 817-1447
- Mailing Address
- 800 E MAIN ST BRADFORD, PA 16701
- Mailing Phone
- (814) 817-1400
- Mailing Fax
- (814) 817-1447
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-22-2008
- Last Update Date
- 12-04-2020
- 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
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251B00000X | Agencies | Case Management | |
| 2 | 251K00000X | Agencies | Public Health or Welfare | |
| 3 | 251S00000X | Agencies | Community/Behavioral Health | |
| 4 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | |
| 5 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1007710210057 | MEDICAID (05) | PA | |
| 1007710210087 | MEDICAID (05) | PA | |
| 1007710210108 | MEDICAID (05) | PA | |
| 1007710210071 | MEDICAID (05) | PA | |
| 1007710210083 | MEDICAID (05) | PA | |
| 1007710210084 | MEDICAID (05) | PA | |
| 1007710210114 | MEDICAID (05) | PA | |
| 1007710210081 | MEDICAID (05) | PA | |
| 1007710210079 | MEDICAID (05) | PA | |
| 1007710210076 | MEDICAID (05) | PA | |
| 1007710210088 | MEDICAID (05) | PA | |
| 1007710210075 | MEDICAID (05) | PA | |
| 1007710210092 | MEDICAID (05) | PA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D2102324
- Facility Type
- Other - MULTISITE RES. TX FACILIT
- Certificate Effective Date
- September 21, 2025
- Certificate Expiration Date
- September 20, 2027
- Laboratory Director
- DR. ERNESTO ROEDERER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Beacon Light Behavioral Health Systems to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1366609646, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
WARREN, PA 16365
WARREN, PA 16365
WARREN, PA 16365
WARREN, PA 16365
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366609646, enumerated as an "organization" on May 22, 2008.
The provider is located at 1885 MARKET ST WARREN, PA 16365 and the phone number is (814) 817-1400.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
