NPIMap

Organization Active NPI

Lighthouse Counseling LLP

  • Counselor
  • Saint Joseph, MI
National Provider Identifier
1033597315
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401014597 Issued in MI
Legal business name
LIGHTHOUSE COUNSELING LLP
Practice address
521 State St
Saint Joseph, MI 49085-1369
Phone
(269) 408-6031
Fax
(269) 408-6031
NPI assigned
May 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Miss Vineesha Rathnam
Title
Partner
Phone
(269) 408-6031

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 6401014597 MI Primary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 6401012473 MI

Addresses

Primary practice location

521 State St
Saint Joseph, MI 49085-1369

Mailing address

521 State St
Saint Joseph, MI 49085-1369
Phone (269) 408-6031

Other identifiers 2

IdentifierTypeStateIssuer
1265848147MedicaidMI
1154698793MedicaidMI

Other names 1

  • Lighthouse Counseling Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lighthouse Counseling2 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.

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1033597315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 STATE ST",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851369",
            "telephone_number": "269-408-6031",
            "fax_number": "269-408-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 STATE ST",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851369",
            "telephone_number": "269-408-6031",
            "fax_number": "269-408-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE COUNSELING LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "RATHNAM",
        "authorized_official_first_name": "VINEESHA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "269-408-6031",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401014597",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401012473",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265848147",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154698793",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.