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CGR BEACON CLINIC, PA
NPI 1841220811
Counselor - Professional in Port Charlotte, FL

Active since July 04, 2006
3782 TAMIAMI TRL, PORT CHARLOTTE, FL 33952(941) 629-7855(941) 629-9589 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cgr Beacon Clinic, Pa NPPES

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

CGR BEACON CLINIC, PA (NPI 1841220811) is a healthcare organization registered as a professional in Port Charlotte, Florida and active in the NPI registry since July 2006. The organization lists Charlene Joan Rosenfield, Arnp, as its authorized official.

NPPES Registry Identity

NPI1841220811
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameCGR BEACON CLINIC, PA
Location Address3782 TAMIAMI TRLPort Charlotte, FL 33952-8353
Mailing AddressPo Box 496080Port Charlotte, FL 33949-6080 · (941) 629-7855 · Fax (941) 629-9589
Phone(941) 629-7855
Fax(941) 629-9589
Organization SubpartNo
Authorized OfficialCharlene Joan RosenfieldArnp · (941) 629-7855
Enumeration DateJuly 4, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1841220811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in FL · ARNP2935382
3782 TAMIAMI TRL, Port Charlotte, FL 33952
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Other Names 1

Doing Business AsCgr Beacon Clinic, Pa

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

CHARLENE JOAN ROSENFIELD ARNP
Nurse Practitioner (Psychiatric/Mental Health)
3782 TAMIAMI TRL, SUITE A
PORT CHARLOTTE, FL 33952
Charlotte County (941) 629-7855
CHANTELLE GRANT LCSW
Social Worker (Clinical)
3782 TAMIAMI TRL, SUITE A
PORT CHARLOTTE, FL 33952
Charlotte County (941) 629-7855

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 Cgr Beacon Clinic, PA's NPI number?

The NPI number for Cgr Beacon Clinic, PA is 1841220811. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is Cgr Beacon Clinic, PA located?

Cgr Beacon Clinic, PA is located at 3782 Tamiami Trl, Port Charlotte, FL 33952. The listed phone number is (941) 629-7855.

What is Cgr Beacon Clinic, PA's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Cgr Beacon Clinic, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.