BEACON OF HOPE THERAPEUTICS
NPI 1396689592
Nurse Practitioner - Psychiatric/Mental Health in Dayton, OH
About Beacon Of Hope Therapeutics NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEACON OF HOPE THERAPEUTICS (NPI 1396689592) is a healthcare organization registered as a psychiatric/mental health in Dayton, Ohio and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through August 3, 2028 and lists Nicholine Efundem Orock, Managing Member, 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)
Beacon Of Hope Therapeutics 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 Beacon Of Hope Therapeutics, 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.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 36D2348248
Beacon Of Hope Therapeutics · Dayton, OHFrequently 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 Of Hope Therapeutics's NPI number?
The NPI number for Beacon Of Hope Therapeutics is 1396689592. It was assigned to this organization in the NPPES registry on April 17, 2026.
Where is Beacon Of Hope Therapeutics located?
Beacon Of Hope Therapeutics is located at 1 Elizabeth Pl Ste Eb1160, Dayton, OH 45417. The listed phone number is (937) 559-1688.
What is Beacon Of Hope Therapeutics's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Beacon Of Hope Therapeutics enrolled in Medicare?
Yes. Beacon Of Hope Therapeutics is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Beacon Of Hope Therapeutics?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Beacon Of Hope Therapeutics. 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.
Does Beacon Of Hope Therapeutics hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D2348248) is associated with this NPI, valid through August 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Beacon Of Hope Therapeutics was last updated on July 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Beacon Of Hope Therapeutics · NPI 1396689592
Psychiatric/Mental Health organization in Dayton, Ohio. Organization record, active in the CMS NPPES registry since April 17, 2026.
## Identity
- **NPI:** 1396689592 (Entity type: Organization)
- **Enumerated:** April 17, 2026
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Nicholine Orock, MANAGING MEMBER
## Practice location
- **Address:** 1 ELIZABETH PL STE EB1160, Dayton, OH 45417-3445
- **Phone:** (937) 559-1688
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 19, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396689592) · Data from the CMS NPPES public registry.