NPIMap

Organization Active NPI

Lighthouse Counseling Christian Ministry, LLC

  • Professional Counselor
  • Berlin, MD
National Provider Identifier
1104272426
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC6686 Issued in MD
Legal business name
LIGHTHOUSE COUNSELING CHRISTIAN MINISTRY, LLC
Practice address
314 Franklin Ave Ste 403
Berlin, MD 21811-1263
Phone
(410) 973-2211
Fax
(443) 782-0350
NPI assigned
May 5, 2016
Last updated
Apr 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Mr. Christopher W Tabb, LCPCNPI 1396167912
Title
Owner/ Therapist
Phone
(410) 808-2291

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
Professional Counselor 101YP2500X PC0000480 DE
Professional Counselor 101YP2500X LC6686 MD Primary

Addresses

Primary practice location

314 Franklin Ave Ste 403
Berlin, MD 21811-1263

Mailing address

314 Franklin Ave Ste 403
Berlin, MD 21811-1263
Phone (410) 973-2211

Other identifiers 2

IdentifierTypeStateIssuer
436905000MedicaidMD
23332OtherMDMARYLAND LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.lighthousecounselingcm.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180508001437 MD Part B Supplier - Clinic/Group Practice 1456615079 Receives reassigned benefits from 14 practitioners
Practice locations: Berlin, MD
O20250612000689 DE Part B Supplier - Clinic/Group Practice 1456615079 Receives reassigned benefits from 5 practitioners
Practice locations: Millsboro, DE

National Provider Directory

National Provider Directory

Locations

30265 Commerce Dr
Unit 205
Millsboro, DE 19966
Phone (302) 245-8722

10026 Main St
Berlin, MD 21811

10026 Main St
Bldg 1
Berlin, MD 21811
Phone (410) 973-2211

10959 Worcester Hwy
Berlin, MD 21811

314 Franklin Ave
Ste 403
Berlin, MD 21811
Phone (410) 629-1995

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1104272426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 FRANKLIN AVE STE 403",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111263",
            "telephone_number": "410-973-2211",
            "fax_number": "443-782-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 FRANKLIN AVE STE 403",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111263",
            "telephone_number": "410-973-2211",
            "fax_number": "443-782-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE COUNSELING CHRISTIAN MINISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "TABB",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "410-808-2291",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC0000480",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "436905000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND LICENSE",
            "identifier": "23332",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.lighthousecounselingcm.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "314 Franklin Ave Ste 403",
            "city": "Berlin",
            "state": "MD",
            "country_code": "US",
            "postal_code": "218111263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.