Organization Active NPI

Lighthouse Therapy Services LLC

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1073292017
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIGHTHOUSE THERAPY SERVICES LLC
Practice address
4115 Vera St
Saginaw, MI 48603-4048
Phone
(989) 971-1933
NPI assigned
Jul 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Rashell ByrskiNPI 1295226769
Title
Founding Member
Phone
(989) 971-1933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4115 Vera St
Saginaw, MI 48603-4048

Mailing address

4115 Vera St
Saginaw, MI 48603-4048

Other practice location 1

304 Briarwood St Apt 201
Clare, MI 48617-1060
Phone (989) 297-8170

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1073292017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 VERA ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486034048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 VERA ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486034048",
            "telephone_number": "989-971-1933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Briarwood St Apt 201",
            "address_purpose": "LOCATION",
            "city": "Clare",
            "state": "MI",
            "postal_code": "486171060",
            "country_code": "US",
            "telephone_number": "989-297-8170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIGHTHOUSE THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "BYRSKI",
        "authorized_official_first_name": "RASHELL",
        "authorized_official_title_or_position": "FOUNDING MEMBER",
        "authorized_official_telephone_number": "989-971-1933"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.