| Beacon Pathways, PLLC | |
|
306 Wolf Den Circle Davis Junction IL 61020 | |
| (815) 997-6654 | |
| Not Available |
| Full Name | Beacon Pathways, PLLC |
|---|---|
| Speciality | Social Worker |
| Location | 306 Wolf Den Circle, Davis Junction, Illinois |
| Authorized Official Name and Position | Samantha Kristine Traum (OWNER) |
| Authorized Official Contact | 8159976654 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Pathways, PLLC 1643 N Alpine Rd Ste 104 Pmb515 Rockford IL 61107-1464 Ph: (815) 997-6654 | Beacon Pathways, PLLC 306 Wolf Den Circle Davis Junction IL 61020 Ph: (815) 997-6654 |
| NPI Number | 1770457558 |
|---|---|
| Provider Enumeration Date | 10/03/2025 |
| Last Update Date | 10/29/2025 |
| Certification Date | 10/29/2025 |
| Medicare PECOS PAC ID | 5395233837 |
|---|---|
| Medicare Enrollment ID | O20251024002613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770457558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Samantha Kristine Traum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316799505 PECOS PAC ID: 8224570791 Enrollment ID: I20240612000995 |
| Provider Name | Kayla Shoemaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255636569 PECOS PAC ID: 0143700989 Enrollment ID: I20260219001061 |
Link & Learn Aba Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Sunny Hill Dr, Davis Junction, IL 61020 Phone: 815-978-0632 |