Lighthouse Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

LIGHTHOUSE COUNSELING, LLC

Practice address

1075 S Utah Ave Ste 356
Idaho Falls, ID 83402-3334

Phone

(208) 541-4295

NPI assigned

Oct 6, 2021

Organization subpart

No

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

Authorized official

Name

Jodi Hyde, LCPCNPI 1114322906

Title

Therapist

Phone

(208) 541-4295

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jodi Hyde

  • Professional Counselor
  • Idaho Falls, ID
  • NPI 1114322906
  NPD Authorized official

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1093477259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 N 3600 E",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425638",
            "telephone_number": "208-541-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 S UTAH AVE STE 356",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023334",
            "telephone_number": "208-541-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "HYDE",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "208-541-4295",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.