Organization Active NPI

Lighthouse Counseling Group LLC

  • Mental Health Counselor
  • Upper Montclair, NJ
National Provider Identifier
1093429771
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIGHTHOUSE COUNSELING GROUP LLC
Practice address
248 Lorraine Ave Ste 9
Upper Montclair, NJ 07043-1457
Phone
(973) 400-9117
NPI assigned
Jan 9, 2023
Last updated
Feb 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Lisa Cassilli, MA, LPC, NCC, SAC, A
Title
President
Phone
(973) 400-9117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

248 Lorraine Ave Ste 9
Upper Montclair, NJ 07043-1457

Mailing address

248 Lorraine Ave Ste 9
Upper Montclair, NJ 07043-1457
Phone (973) 400-9117

Other practice location 1

330 Changebridge Rd Ste 101
Pine Brook, NJ 07058-9839
Phone (973) 400-9117

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.simplepractice.com

National Provider Directory

National Provider Directory

Locations

330 Changebridge Rd
Ste 101
Pine Brook, NJ 07058
Phone (862) 266-2009

248 Lorraine Ave
Ste 9
Upper Montclair, NJ 07043
Phone (973) 400-9117

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1093429771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 LORRAINE AVE STE 9",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431457",
            "telephone_number": "973-400-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 LORRAINE AVE STE 9",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431457",
            "telephone_number": "973-400-9117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Changebridge Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Pine Brook",
            "state": "NJ",
            "postal_code": "070589839",
            "country_code": "US",
            "telephone_number": "973-400-9117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIGHTHOUSE COUNSELING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "CASSILLI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-400-9117",
        "authorized_official_credential": "MA, LPC, NCC, SAC, A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Client Portal",
            "address_1": "248 Lorraine Ave Ste 9",
            "city": "Upper Montclair",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070431457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upper Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.