Organization Active NPI

North Point Lighthouse Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oakwood, GA
National Provider Identifier
1033820709
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NORTH POINT LIGHTHOUSE COUNSELING, LLC
Practice address
4810 McEver Rd
Oakwood, GA 30566-2600
Phone
(678) 971-4177
Fax
(678) 971-4185
NPI assigned
Dec 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Alisa Jordan
Title
Clinic Manager
Phone
(678) 971-4177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4810 McEver Rd
Oakwood, GA 30566-2600

Mailing address

4810 McEver Rd
Oakwood, GA 30566-2600
Phone (678) 971-4177

Other identifiers 1

IdentifierTypeStateIssuer
003274561AMedicaidGA

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address contact@northpointlighthousecounseling.com Direct
Direct Messaging Address contact@northpointlighthousecounseling.com
Direct Messaging Address contact@northpointlighthousecounseling.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240501000149 GA Part B Supplier - Clinic/Group Practice 6002256567 Receives reassigned benefits from 3 practitioners
Practice locations: Oakwood, GA

National Provider Directory

National Provider Directory

Locations

4810 McEver Rd
Oakwood, GA 30566
Phone (678) 971-4177

Practitioners & affiliated clinicians

Practitioners 4

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": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1033820709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 MCEVER RD",
            "city": "OAKWOOD",
            "state": "GA",
            "postal_code": "305662600",
            "telephone_number": "678-971-4177",
            "fax_number": "678-971-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 MCEVER RD",
            "city": "OAKWOOD",
            "state": "GA",
            "postal_code": "305662600",
            "telephone_number": "678-971-4177",
            "fax_number": "678-971-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH POINT LIGHTHOUSE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "678-971-4177"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003274561A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@northpointlighthousecounseling.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4810 McEver Rd",
            "city": "Oakwood",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305662600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@northpointlighthousecounseling.com",
            "affiliation": "N",
            "address_1": "4810 McEver Rd",
            "city": "Oakwood",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305662600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@northpointlighthousecounseling.com",
            "affiliation": "N",
            "address_1": "4810 McEver Rd",
            "city": "Oakwood",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305662600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakwood, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.

Verify at the official NPI Registry.