Active NPI
Lighthouse of Hope & Healing, LLC
- Community/Behavioral Health Agency
- Jefferson City, MO
National Provider Identifier
1073135620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LIGHTHOUSE OF HOPE & HEALING, LLC
- Practice address
- 1026 Northeast Dr Ste B
Jefferson City, MO 65109-2517 - Phone
- (573) 690-7919
- Fax
- (573) 636-7771
- NPI assigned
- May 16, 2020
- Last updated
- May 16, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina L Sanni
- Title
- Owner
- Phone
- (573) 690-7919
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1026 Northeast Dr Ste B
Jefferson City, MO 65109-2517
Mailing address
PO Box 105755
Jefferson City, MO 65110-5755
Phone (573) 690-7919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Professional Counselor
- Jefferson City, MO
- NPI 1063949659
-
- Professional Counselor
- Jefferson City, MO
- NPI 1699576652
-
- Professional Counselor
- Maryville, MO
- NPI 1881894392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589587200000",
"number": "1073135620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 105755",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651105755",
"telephone_number": "573-690-7919",
"fax_number": "573-636-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 NORTHEAST DR STE B",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651092517",
"telephone_number": "573-690-7919",
"fax_number": "573-636-7771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHTHOUSE OF HOPE & HEALING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-16",
"last_updated": "2020-05-16",
"certification_date": "2020-05-16",
"status": "A",
"authorized_official_last_name": "SANNI",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-690-7919"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.