Organization Active NPI

Lighthouse Counseling

  • Marriage & Family Therapist
  • Groton, CT
National Provider Identifier
1043515422
Registry record updated Jan 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
LIGHTHOUSE COUNSELING
Practice address
611A Long Hill Rd
Groton, CT 06340-4138
Phone
(860) 235-5995
Fax
(860) 572-4986
NPI assigned
Jan 17, 2011
Last updated
Jan 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2011

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

Authorized official

Name
Laurel Wiers, LMFTNPI 1376631382
Title
Owner
Phone
(860) 235-5995

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

611A Long Hill Rd
Groton, CT 06340-4138

Mailing address

611A Long Hill Rd
Groton, CT 06340-4138
Phone (860) 235-5995

National Provider Directory

National Provider Directory

Locations

611A Long Hill Rd
Groton, CT 06340
Phone (860) 235-5995

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295222400000",
    "number": "1043515422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611A LONG HILL RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404138",
            "telephone_number": "860-235-5995",
            "fax_number": "860-572-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611A LONG HILL RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404138",
            "telephone_number": "860-235-5995",
            "fax_number": "860-572-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-17",
        "last_updated": "2011-01-17",
        "status": "A",
        "authorized_official_last_name": "WIERS",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-235-5995",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.