NPIMap

Organization Active NPI

Lighthouse Youth Services Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Dayton, OH
National Provider Identifier
1063480846
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0259 Issued in OH
Legal business name
LIGHTHOUSE YOUTH SERVICES INC.
Practice address
131 N Ludlow St
Suite 384
Dayton, OH 45402-1116
Phone
(937) 586-0435
Fax
(937) 586-0441
NPI assigned
Mar 9, 2006
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
Marilon Winther
Title
Vice President, Cfo
Phone
(513) 221-3350

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 0259 OH Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

131 N Ludlow St
Suite 384
Dayton, OH 45402-1116

Mailing address

1501 Madison Rd
2ND, Floor
Cincinnati, OH 45206-1776
Phone (513) 221-3350

Other identifiers 1

IdentifierTypeStateIssuer
11166MedicaidOH

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

131 N Ludlow St
Ste 384
Dayton, OH 45402
Phone (937) 586-0435

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": "1063480846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MADISON RD",
            "address_2": "2ND, FLOOR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061776",
            "telephone_number": "513-221-3350",
            "fax_number": "513-221-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N LUDLOW ST",
            "address_2": "SUITE 384",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021116",
            "telephone_number": "937-586-0435",
            "fax_number": "937-586-0441"
        }
    ],
    "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": "WINTHER",
        "authorized_official_first_name": "MARILON",
        "authorized_official_title_or_position": "VICE PRESIDENT, CFO",
        "authorized_official_telephone_number": "513-221-3350"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "0259",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11166",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, 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.