Organization Active NPI

Lighthouse Counseling Services LLC

  • Clinical Psychologist
  • Hinsdale, IL
National Provider Identifier
1104129287
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071004301 Issued in IL
Legal business name
LIGHTHOUSE COUNSELING SERVICES LLC
Practice address
244 E Ogden Ave
Suite 11
Hinsdale, IL 60521-3648
Phone
(630) 325-4770
NPI assigned
Dec 13, 2010
Last updated
Dec 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Dr. David Preston Mackinnon, PH.D.NPI 1336156744
Title
President
Phone
(630) 325-4770

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071004301 IL Primary
Marriage & Family Therapist 106H00000X 166000403 IL

Addresses

Primary practice location

244 E Ogden Ave
Suite 11
Hinsdale, IL 60521-3648

Mailing address

244 E Ogden Ave
Suite 11
Hinsdale, IL 60521-3648
Phone (630) 325-4770

National Provider Directory

National Provider Directory

Locations

244 E Ogden Ave
Ste 11
Hinsdale, IL 60521
Phone (630) 325-4770

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": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1104129287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 E OGDEN AVE",
            "address_2": "SUITE 11",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213648",
            "telephone_number": "630-325-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 E OGDEN AVE",
            "address_2": "SUITE 11",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213648",
            "telephone_number": "630-325-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "MACKINNON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PRESTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-325-4770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004301",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.