Organization Active NPI

Lighthouse Mental Health Counseling, PC

  • Mental Health Counselor
  • Bronx, NY
National Provider Identifier
1013782614
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIGHTHOUSE MENTAL HEALTH COUNSELING, PC
Practice address
3602 Corlear Ave Lowr
Bronx, NY 10463-2306
Phone
(516) 303-9925
Fax
(516) 303-9920
NPI assigned
Nov 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Lynda Simon Taylor, LMHCNPI 1770977449
Title
Ceo
Phone
(631) 774-6826

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3602 Corlear Ave Lowr
Bronx, NY 10463-2306

Mailing address

108 S Franklin Ave Ste 3
Valley Stream, NY 11580-6105
Phone (516) 303-9925

Other practice location 1

108 S Franklin Ave Ste 3
Valley Stream, NY 11580-6105
Phone (516) 303-9925

National Provider Directory

National Provider Directory

Locations

108 S Franklin Ave
Ste 3
Valley Stream, NY 11580
Phone (516) 303-9925

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": "1700784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1013782614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S FRANKLIN AVE STE 3",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806105",
            "telephone_number": "516-303-9925",
            "fax_number": "516-303-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 CORLEAR AVE LOWR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104632306",
            "telephone_number": "516-303-9925",
            "fax_number": "516-303-9920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 S Franklin Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Valley Stream",
            "state": "NY",
            "postal_code": "115806105",
            "country_code": "US",
            "telephone_number": "516-303-9925",
            "fax_number": "516-303-9920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIGHTHOUSE MENTAL HEALTH COUNSELING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "SIMON TAYLOR",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-774-6826",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.