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BEACON HUB LLC
NPI 1508633694
Clinic/Center - Mental Health (Including Community Mental Health Center) in Salem, OR

Active since December 08, 2023
2355 STATE ST STE 101, SALEM, OR 97301(210) 769-1554 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beacon Hub Llc NPPES

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

BEACON HUB LLC (NPI 1508633694) is a healthcare organization registered as a mental health (including community mental health center) in Salem, Oregon and active in the NPI registry since December 2023. The organization lists Ian Mazimpaka, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508633694
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBEACON HUB LLC
Location Address2355 STATE ST STE 101Salem, OR 97301-4541
Mailing Address10725 Sw Barbur BlvdPortland, OR 97219-8676 · (210) 769-1554
Phone(210) 769-1554
Organization SubpartNo
Authorized OfficialIan MazimpakaCeo · (210) 769-1554
Enumeration DateDecember 8, 2023
NPPES CertifiedDecember 7, 2023
✔ NPI 1508633694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
2355 STATE ST STE 101, Salem, OR 97301
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TARA BARRETT
Counselor (Mental Health)
2355 STATE ST STE 101
SALEM, OR 97301
Marion County (971) 599-3380
CLARA FISHER
Marriage & Family Therapist
2355 STATE ST STE 101
SALEM, OR 97301
Marion County (424) 431-1018
DR. TINA MARIE GLOVER PHD, CRC, LPC, LPCC
Counselor (Mental Health)
2355 STATE ST STE 101
SALEM, OR 97301
Marion County (210) 503-9834
NIRIT STEPHENS
Marriage & Family Therapist
2355 STATE ST STE 101
SALEM, OR 97301
Marion County (808) 796-9632
BEYOUNKA BONNER
Counselor (Mental Health)
2355 STATE ST STE 101
SALEM, OR 97301
Marion County (470) 992-2796
LORINDA LEE SANDERS LCSW
Social Worker (Clinical)
2355 STATE ST STE 101
SALEM, OR 97301
Marion County (208) 550-0834
LAUREN MULLINS
Counselor (Mental Health)
2355 STATE ST STE 101
SALEM, OR 97301
Marion County (503) 928-6778
JORDIN DANIELSON
Counselor (Mental Health)
2355 STATE ST STE 101
SALEM, OR 97301
Marion County (971) 202-1269

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 Hub LLC's NPI number?

The NPI number for Beacon Hub LLC is 1508633694. It was assigned to this organization in the NPPES registry on December 8, 2023.

Where is Beacon Hub LLC located?

Beacon Hub LLC is located at 2355 State St Ste 101, Salem, OR 97301. The listed phone number is (210) 769-1554.

What is Beacon Hub LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Beacon Hub LLC was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.