Active NPI
Lighthouse Counseling Ministries
- Clinical Social Worker
- Durham, NC
National Provider Identifier
1023765765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LIGHTHOUSE COUNSELING MINISTRIES
- Practice address
- 2530 Meridian Pkwy Ste 300
Durham, NC 27713-5273 - Phone
- (919) 519-5432
- NPI assigned
- Mar 2, 2022
- 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
- Ms. Quintisha China, LCSW
- Title
- Social Worker/Clinical
- Phone
- (919) 519-5432
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2530 Meridian Pkwy Ste 300
Durham, NC 27713-5273
Mailing address
221 E Main St Unit 132
Gibsonville, NC 27249-0205
National Provider Directory
National Provider DirectoryLocations
221 E Main St
Unit 132
Gibsonville, NC 27249
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": "1646179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646179200000",
"number": "1023765765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 E MAIN ST UNIT 132",
"city": "GIBSONVILLE",
"state": "NC",
"postal_code": "272490205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 MERIDIAN PKWY STE 300",
"city": "DURHAM",
"state": "NC",
"postal_code": "277135273",
"telephone_number": "919-519-5432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHTHOUSE COUNSELING MINISTRIES",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-02",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A",
"authorized_official_last_name": "CHINA",
"authorized_official_first_name": "QUINTISHA",
"authorized_official_title_or_position": "SOCIAL WORKER/CLINICAL",
"authorized_official_telephone_number": "919-519-5432",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.