Lighthouse Beacon, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LIGHTHOUSE BEACON, PLLC

Practice address

2681 US Highway 34
Oswego, IL 60543-8577

Phone

(779) 706-1095

NPI assigned

Jul 22, 2025

Last updated

Jul 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary Marie Ihnenfeld, DSW, LCSWNPI 1194856054

Title

Owner

Phone

(630) 779-2045

Specialties & licenses 1

Addresses

Other names 1

• Ihnenfeld Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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.

• Mary Marie Ihnenfeld, LCSW

  • Clinical Social Worker
  • Aurora, IL
  • NPI 1194856054
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1073495024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 ROBERT LN",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605383352",
            "telephone_number": "630-779-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2681 US HIGHWAY 34",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438577",
            "telephone_number": "779-706-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE BEACON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "IHNENFELD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-779-2045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ihnenfeld",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chula Lerdvoratavee, O.D.
• Danielle Kristine Lewandowski, DT
• Tamiko Liburd
• Veronica Tsu Lickfelt, LCSW
• Life Advantage Chiropractic (Foundation Chiropractic)
• Lilavie Counseling PLLC
• Lisa Stout D.C., S.C. (Oswego Health & Wellness Center)
• Jennifer Liss
• Little Talkers, Speech and Language Therapy, LLC
• Little Victories ABA LLC

• Adult Mental Health Clinic/Center in Oswego, IL
• Providers in Oswego, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.

Verify at the official NPI Registry.