Active NPI
Lighthouse Counseling Services LLC
- Clinical Psychologist
- Hinsdale, IL
National Provider Identifier
1104129287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071004301
- 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, 2010
- 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
- Dr. David Preston Mackinnon, PH.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Marriage & Family Therapist
- Hinsdale, IL
- NPI 1336156744
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.