NPIMap

Organization Active NPI

Lighthouse Youth Services Inc.

Doing business as Lighthouse Youth & Family Services

  • Addiction (Substance Use Disorder) Counselor
  • Bainbridge, OH
National Provider Identifier
1053389841
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
LIGHTHOUSE YOUTH SERVICES INC.
Doing business as
Lighthouse Youth & Family Services
Practice address
1071 Tong Hollow Rd
Bainbridge, OH 45612-9421
Phone
(740) 634-3094
Fax
(740) 634-3047
NPI assigned
Mar 9, 2006
Last updated
Apr 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Thuy Kolik
Title
Vice President, Cfo & Cao
Phone
(513) 487-7106

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X OH Primary
Clinical Medical Laboratory 291U00000X NU

Addresses

Primary practice location

1071 Tong Hollow Rd
Bainbridge, OH 45612-9421

Mailing address

401 E McMillan St
Cincinnati, OH 45206-1922
Phone (513) 487-7106

Other identifiers 1

IdentifierTypeStateIssuer
06883OtherOHALCOHOL & DRUG TREATMENT

Other names 1

  • Lighthouse Youth & Family Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lighthouse Youth and Family Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1071 Tong Hollow Rd
Bainbridge, OH 45612
Phone (740) 313-0569

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/lys/r4/

Practitioners & affiliated clinicians

Practitioners 141

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.

View all 141

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1053389841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E MCMILLAN ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061922",
            "telephone_number": "513-487-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 TONG HOLLOW RD",
            "city": "BAINBRIDGE",
            "state": "OH",
            "postal_code": "456129421",
            "telephone_number": "740-634-3094",
            "fax_number": "740-634-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE YOUTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "KOLIK",
        "authorized_official_first_name": "THUY",
        "authorized_official_title_or_position": "VICE PRESIDENT, CFO & CAO",
        "authorized_official_telephone_number": "513-487-7106"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALCOHOL & DRUG TREATMENT",
            "identifier": "06883",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Youth & Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bainbridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.