Lighthouse Kids Hixson, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

LIGHTHOUSE KIDS HIXSON, LLC

Practice address

1901 Northpoint Boulevard
Suite 140
Hixson, TN 37343

Phone

(502) 974-5239

NPI assigned

Mar 29, 2022

Organization subpart

No

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

Authorized official

Name

Jeff West

Title

Ceo

Phone

(502) 974-5239

Specialties & licenses 2

Addresses

Tax ID family

Lighthouse Kids Hixson LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lighthouse Kids Hixson, LLC

  • Behavior Analyst
  • Fort Oglethorpe, GA
  • NPI 1184543894
  NPD tax ID

Locations

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1013657238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4427 HIGHLANDER DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876844",
            "telephone_number": "502-974-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 NORTHPOINT BOULEVARD",
            "address_2": "SUITE 140",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "37343",
            "telephone_number": "502-974-5239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 N. James Campbell Blvd",
            "address_2": "Ste 08",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "38401",
            "country_code": "US",
            "telephone_number": "423-498-9051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5243 Little Debbie Pkwy",
            "address_purpose": "LOCATION",
            "city": "Ooltewah",
            "state": "TN",
            "postal_code": "373634514",
            "country_code": "US",
            "telephone_number": "423-498-9076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1537 Franklin Rd",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370276841",
            "country_code": "US",
            "telephone_number": "629-899-6777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 S Gallaher View Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195302",
            "country_code": "US",
            "telephone_number": "423-498-9076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIGHTHOUSE KIDS HIXSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-974-5239"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond David Lewis, DPH
• William Freeman Lewis, FNP-C
• Liberty Healthcare Partners
• Douglas A. Liening, M.D.
• Life Care Centers of America, Inc. (Life Care Center of Hixson)
• Lighthouse Therapy LLC
• Jessica K Linz, OT
• Sara Liriano, RPH
• Lasheda Antrice Little
• Kristin Liveris, PHARMD

• Behavior Analyst in Hixson, TN
• Providers in Hixson, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.