NPIMap

Organization Active NPI

The Lighthouse Mentoring Center

Doing business as Lighthouse Mentoring Center 5

  • Mental Illness Community Based Residential Treatment Facility
  • Antioch, CA
National Provider Identifier
1114805926
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
THE LIGHTHOUSE MENTORING CENTER
Doing business as
Lighthouse Mentoring Center 5
Practice address
5453 Shrike Way
Antioch, CA 94531-7821
Phone
(925) 350-0149
Fax
(925) 350-0158
NPI assigned
Aug 21, 2025
Last updated
Sep 18, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
THE LIGHTHOUSE MENTORING CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Phyllis Ritter, LMFTNPI 1629642020
Title
Clinical Director
Phone
(925) 628-1641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

5453 Shrike Way
Antioch, CA 94531-7821

Mailing address

5453 Shrike Way
Antioch, CA 94531-7821
Phone (925) 350-0149

Other names 1

  • Lighthouse Mentoring Center 5 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Lighthouse Mentoring Center6 organizations share this tax ID, including this one
Part of
The Lighthouse Mentoring Center

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

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": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1114805926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5453 SHRIKE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945317821",
            "telephone_number": "925-350-0149",
            "fax_number": "925-350-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5453 SHRIKE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945317821",
            "telephone_number": "925-350-0149",
            "fax_number": "925-350-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIGHTHOUSE MENTORING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE LIGHTHOUSE MENTORING CENTER",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "RITTER",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "925-628-1641",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Mentoring Center 5",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.