Active NPI
Lighthouse Psychology Services LLC
- Professional Counselor
- Rocky Ford, CO
National Provider Identifier
1023846391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- LIGHTHOUSE PSYCHOLOGY SERVICES LLC
- Practice address
- 1119 S 12TH St
Rocky Ford, CO 81067-2409 - Phone
- (719) 225-0311
- NPI assigned
- Jul 26, 2024
- Last updated
- Sep 10, 2024
- 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
- Dr. Melissa Foley
- Title
- Therapist/Owner
- Phone
- (719) 225-0311
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1119 S 12TH St
Rocky Ford, CO 81067-2409
Mailing address
PO Box 798
Rocky Ford, CO 81067-0798
Phone (719) 225-0311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725926400000",
"number": "1023846391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 798",
"city": "ROCKY FORD",
"state": "CO",
"postal_code": "810670798",
"telephone_number": "719-225-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 S 12TH ST",
"city": "ROCKY FORD",
"state": "CO",
"postal_code": "810672409",
"telephone_number": "719-225-0311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHTHOUSE PSYCHOLOGY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-26",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A",
"authorized_official_last_name": "FOLEY",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "THERAPIST/OWNER",
"authorized_official_telephone_number": "719-225-0311",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Ford, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.