Active NPI
Lighthouse Family Counseling Inc.
- Marriage & Family Therapist
- Fullerton, CA
National Provider Identifier
1003232547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC36541
- Legal business name
- LIGHTHOUSE FAMILY COUNSELING INC.
- Practice address
- 1440 N. Harbor Blvd.
Suite 908
Fullerton, CA 92838 - Phone
- (949) 285-8802
- Fax
- (949) 679-8929
- NPI assigned
- Mar 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Linda Maria Brawley, LMFT (MFC 36541)
- Title
- President
- Phone
- (949) 285-8802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC36541 | CA | Primary |
Addresses
Primary practice location
1440 N. Harbor Blvd.
Suite 908
Fullerton, CA 92838
Mailing address
3742 Carmel Ave.
Irvine, CA 92606
Phone (949) 285-8802
National Provider Directory
National Provider DirectoryLocations
1440 N Harbor Blvd
Ste 908
Fullerton, CA 92835
Phone (949) 285-8802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394150400000",
"number": "1003232547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3742 CARMEL AVE.",
"city": "IRVINE",
"state": "CA",
"postal_code": "92606",
"telephone_number": "949-285-8802",
"fax_number": "949-679-8929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 N. HARBOR BLVD.",
"address_2": "SUITE 908",
"city": "FULLERTON",
"state": "CA",
"postal_code": "92838",
"telephone_number": "949-285-8802",
"fax_number": "949-679-8929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHTHOUSE FAMILY COUNSELING INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-07",
"last_updated": "2014-03-07",
"status": "A",
"authorized_official_last_name": "BRAWLEY",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-285-8802",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMFT (MFC 36541)"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC36541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.