Lighthouse Counseling of Salem, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114085 Issued in MA

Legal business name

LIGHTHOUSE COUNSELING OF SALEM, INC

Practice address

19 Front St
Suite 202
Salem, MA 01970-3792

Phone

(617) 852-3152

NPI assigned

Jan 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Philip C Higgins, PHD, LICSW

Title

President

Phone

(617) 852-3152

Specialties & licenses 1

Addresses

Other names 1

• PHILIP C HIGGINS, PHD, LICSW Former legal business name

Locations

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1073059630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 FRONT ST",
            "address_2": "SUITE 202",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703792",
            "telephone_number": "617-852-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 FRONT ST",
            "address_2": "SUITE 202",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703792",
            "telephone_number": "617-852-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE COUNSELING OF SALEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-852-3152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHILIP C HIGGINS, PHD, LICSW",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mark David Libon, PH.D.
• Anna Liebich, MA
• Emily E Liebke
• Jennifer Liff
• Light Paths Counseling LLC
• Lighthouse Merrimack, LLC
• Julie Lika
• Margaret Lilley, M.ED
• Eleni Lima, NP
• Kyle Jordan Lincoln, LMHC

• Clinical Social Worker in Salem, MA
• Providers in Salem, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.