Organization Active NPI

Lighthouse Ranch Equine Therapy Center Inc

  • Rehabilitation Counselor
  • St Augustine, FL
National Provider Identifier
1003797242
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
Legal business name
LIGHTHOUSE RANCH EQUINE THERAPY CENTER INC
Practice address
2320 Water Plant Rd
St Augustine, FL 32092-9249
Phone
(904) 487-9986
NPI assigned
Sep 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Alexandria Jones, ES, CTAA
Title
Equine Therapist
Phone
(904) 487-9986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 225C00000X Primary

Addresses

Primary practice location

2320 Water Plant Rd
St Augustine, FL 32092-9249

Mailing address

7451 Ortega Hills Dr
Jacksonville, FL 32244-4633
Phone (904) 487-9986

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1757548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1003797242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7451 ORTEGA HILLS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322444633",
            "telephone_number": "904-487-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 WATER PLANT RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320929249",
            "telephone_number": "904-487-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE RANCH EQUINE THERAPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_title_or_position": "EQUINE THERAPIST",
        "authorized_official_telephone_number": "904-487-9986",
        "authorized_official_credential": "ES, CTAA"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.