Active NPI
Lighthouse Counseling Group LLC
- Mental Health Counselor
- Upper Montclair, NJ
National Provider Identifier
1093429771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2023
- 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
- Lisa Cassilli, MA, LPC, NCC, SAC, A
- Title
- President
- Phone
- (973) 400-9117
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.simplepractice.com |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Lincoln Park, NJ
- NPI 1013621754
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.