NPIMap

Organization Active NPI

The Light Within Therapy LLC

  • Marriage & Family Therapist
  • De Pere, WI
National Provider Identifier
1043046121
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
THE LIGHT WITHIN THERAPY LLC
Practice address
3311 So. Packerland Drive
Suite a#7
De Pere, WI 54115
Phone
(920) 696-8288
NPI assigned
Sep 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Kristina Hunter, LMFTNPI 1457925430
Title
Owner and LMFT
Phone
(920) 696-8288

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
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

3311 So. Packerland Drive
Suite a#7
De Pere, WI 54115

Mailing address

3311 So. Packerland Drive
Suite a#7
De Pere, WI 54115
Phone (920) 696-8288

National Provider Directory

National Provider Directory

Locations

3311 Packerland Dr
Ste A7
De Pere, WI 54115
Phone (920) 696-8288

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": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1043046121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 SO. PACKERLAND DRIVE",
            "address_2": "SUITE A#7",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "54115",
            "telephone_number": "920-696-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 SO. PACKERLAND DRIVE",
            "address_2": "SUITE A#7",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "54115",
            "telephone_number": "920-696-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIGHT WITHIN THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER AND LMFT",
        "authorized_official_telephone_number": "920-696-8288",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Pere, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.