NPIMap

Organization Active NPI

Lighthouse Professional Counseling Services, PLLC

  • Professional Counselor
  • Ashland, KY
National Provider Identifier
1003218546
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LIGHTHOUSE PROFESSIONAL COUNSELING SERVICES, PLLC
Practice address
1100 Our Lady'S Way Ste 219
Ashland, KY 41101-7049
Phone
(606) 834-0020
Fax
(606) 834-0049
NPI assigned
Sep 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Debora K Reeves, LCSWNPI 1245436757
Title
Executive Director/Co-Owner
Phone
(606) 834-0020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X KY
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X KY
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X KY Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X KY

Addresses

Primary practice location

1100 Our Lady'S Way Ste 219
Ashland, KY 41101-7049

Mailing address

1100 Our Lady'S Way Ste 219
Ashland, KY 41101-7049
Phone (606) 834-0020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150112002286 KY Part B Supplier - Clinic/Group Practice 4082938477 Receives reassigned benefits from 4 practitioners
Practice locations: Ashland, KY

National Provider Directory

National Provider Directory

Locations

700 Wheatley Rd
Ashland, KY 41101
Phone (606) 327-1732

1100 Our Ladys Way
Ste 219
Ashland, KY 41101
Phone (606) 834-0020

1448 Diederich Blvd
Russell, KY 41169
Phone (606) 834-0020

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1003218546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 OUR LADY'S WAY STE 219",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017049",
            "telephone_number": "606-834-0020",
            "fax_number": "606-834-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 OUR LADY'S WAY STE 219",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017049",
            "telephone_number": "606-834-0020",
            "fax_number": "606-834-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE PROFESSIONAL COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CO-OWNER",
        "authorized_official_telephone_number": "606-834-0020",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.