NPIMap

Organization Active NPI

Lighthouse Neurofeedback & Behavior Analysis, Inc

  • Behavior Analyst
  • Longmont, CO
National Provider Identifier
1043101199
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LIGHTHOUSE NEUROFEEDBACK & BEHAVIOR ANALYSIS, INC
Practice address
1833 Sunset PL Ste a
Longmont, CO 80501-6545
Phone
(720) 449-6676
Fax
(303) 374-5224
NPI assigned
Jul 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Hui-Chung Jacquelina King
Title
Director of Operations
Phone
(720) 295-2291

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X

Addresses

Primary practice location

1833 Sunset PL Ste a
Longmont, CO 80501-6545

Mailing address

720 100 Yearparty CT Ste 200
Longmont, CO 80504-8591
Phone (720) 449-6676

Other practice location 1

1823 Sunset Pl Ste C
Longmont, CO 80501-6544
Phone (720) 449-6676

Other names 4

  • Lighthouse Behavior Services Doing business as
  • Lighthouse Institute of NeuroBehavioral Health Doing business as
  • Lighthouse Neurofeedback & Behavioral Health Doing business as
  • Lighthouse Therapeutics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lighthouse Neurofeedback5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1823 Sunset Pl
Ste C
Longmont, CO 80501
Phone (303) 772-7334

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": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1043101199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 100 YEARPARTY CT STE 200",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805048591",
            "telephone_number": "720-449-6676",
            "fax_number": "303-374-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 SUNSET PL STE A",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016545",
            "telephone_number": "720-449-6676",
            "fax_number": "303-374-5224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1823 Sunset Pl Ste C",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805016544",
            "country_code": "US",
            "telephone_number": "720-449-6676",
            "fax_number": "303-374-5224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIGHTHOUSE NEUROFEEDBACK & BEHAVIOR ANALYSIS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "HUI-CHUNG",
        "authorized_official_middle_name": "JACQUELINA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "720-295-2291"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Behavior Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lighthouse Institute of NeuroBehavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lighthouse Neurofeedback & Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lighthouse Therapeutics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.