Lighthouse Trauma Therapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LIGHTHOUSE TRAUMA THERAPY LLC

Practice address

883 S 1540 E
Provo, UT 84606-6743

Phone

(801) 829-1311

NPI assigned

Jan 16, 2023

Organization subpart

No

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

Authorized official

Name

Aimi Campbell, LMFTNPI 1881296010

Title

Owner

Phone

(801) 829-1311

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aimi Campbell

  • Marriage & Family Therapist
  • Spanish Fork, UT
  • NPI 1881296010
  NPD Authorized official

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1043925902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 S 1540 E",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846066743",
            "telephone_number": "801-829-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 S 1540 E",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846066743",
            "telephone_number": "801-829-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE TRAUMA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "AIMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-829-1311",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Integrative Health Center
• Lifestyle Mental Health
• Lift Family Care, LLC
• Maryjane Ligairi, PT
• Brittney Lige
• Kristen Lile, D.O.
• Eunsook Lim, FNP-C
• Daniel Limb
• Joseph Craig Limb, CSW
• Rustin Richard Limb, DO

• Mental Health Clinic/Center (Including Community Mental Health Center) in Provo, UT
• Providers in Provo, UT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.