Beacon Hub LLC
Beacon Hub LLC is a healthcare organization registered as Mental Health Clinic/Center (Including Community Mental Health Center) in Salem, OR, holding Type 2 (organization) NPI 1508633694 since 2023. The authorized official on file is Ian Mazimpaka, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1508633694 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Beacon Hub LLC |
| Practice address | 2355 STATE ST STE 101, Salem, OR, 97301 |
| Phone | 2107691554 |
| Enumeration date | 2023-12-08 |
| Last updated in NPPES | 2023-12-08 |
Authorized official
| Name | Ian Mazimpaka |
|---|---|
| Title | Ceo |
| Phone | 2107691554 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | Primary | — | — |
Copy-ready billing details
Provider: Beacon Hub LLC NPI: 1508633694 Taxonomy: 261QM0801X (Mental Health Clinic/Center (Including Community Mental Health Center)) Address: 2355 STATE ST STE 101, Salem, OR, 97301
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1699899633 | John Henderson | Individual | Professional Counselor | Salem, OR |
| 1508069246 | Wendy Ludlow | Individual | Clinical Social Worker | Salem, OR |
| 1023208410 | Tina Marie Glover | Individual | Mental Health Counselor | Salem, OR |
| 1396910907 | Elzie Stein | Individual | Clinical Social Worker | Salem, OR |
| 1841458973 | Nathan Boddie | Individual | Internal Medicine Physician | Salem, OR |
| 1861726267 | Renee Bisnaire | Individual | Clinical Social Worker | Salem, OR |
| 1386973311 | Maria Marshall | Individual | Clinical Psychologist | Salem, OR |
| 1821302217 | Beth Owens | Individual | Mental Health Counselor | Salem, OR |
Verify this record
Cross-check NPI 1508633694 against the authoritative CMS record: view Beacon Hub LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Beacon Hub LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-12-08.