NPIMap

Organization Active NPI

L.I.G.H.T. Counseling Center

  • Community/Behavioral Health Agency
  • Lakewood, WA
National Provider Identifier
1033488598
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
602933664 Issued in WA
Legal business name
L.I.G.H.T. COUNSELING CENTER
Practice address
9124 Gravelly Lake Dr SW
Lakes Plaza Suite 101
Lakewood, WA 98499-3198
Phone
(253) 503-0236
Fax
(253) 503-0982
NPI assigned
Dec 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Ms. Jennifer Hortense Ferguson, MA, LMFT, CDPNPI 1669654505
Title
Ceo
Phone
(253) 503-0236

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
Community/Behavioral Health Agency 251S00000X 602933664 WA Primary

Addresses

Primary practice location

9124 Gravelly Lake Dr SW
Lakes Plaza Suite 101
Lakewood, WA 98499-3198

Mailing address

9124 Gravelly Lake Dr SW
Lakes Plaza Suite 101
Lakewood, WA 98499-3198
Phone (253) 503-0236

Other identifiers 1

IdentifierTypeStateIssuer
331-8907MedicaidWA

Other names 1

  • LIGHT Counseling Center Other name

National Provider Directory

National Provider Directory

Locations

9124 Gravelly Lake Dr SW
Ste 101
Lakewood, WA 98499
Phone (253) 503-0236

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": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1033488598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9124 GRAVELLY LAKE DR SW",
            "address_2": "LAKES PLAZA SUITE 101",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993198",
            "telephone_number": "253-503-0236",
            "fax_number": "253-503-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9124 GRAVELLY LAKE DR SW",
            "address_2": "LAKES PLAZA SUITE 101",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993198",
            "telephone_number": "253-503-0236",
            "fax_number": "253-503-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.I.G.H.T. COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "HORTENSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-503-0236",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LMFT, CDP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "602933664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331-8907",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIGHT Counseling Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.