Organization Active NPI

Light Within Therapy & Coaching, LLC

  • Clinical Social Worker
  • Bethel, ME
National Provider Identifier
1114883832
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIGHT WITHIN THERAPY & COACHING, LLC
Practice address
81 Dragon Fly Dr
Bethel, ME 04217-3064
Phone
(508) 409-5925
NPI assigned
Dec 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Authorized official

Name
Jennifer Jordan, LCSW/LICSWNPI 1134687890
Title
Owner
Phone
(508) 409-5925

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

81 Dragon Fly Dr
Bethel, ME 04217-3064

Mailing address

81 Dragon Fly Dr
Bethel, ME 04217-3064
Phone (508) 409-5925

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1766707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766707200000",
    "number": "1114883832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 DRAGON FLY DR",
            "city": "BETHEL",
            "state": "ME",
            "postal_code": "042173064",
            "telephone_number": "508-409-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 DRAGON FLY DR",
            "city": "BETHEL",
            "state": "ME",
            "postal_code": "042173064",
            "telephone_number": "508-409-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT WITHIN THERAPY & COACHING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-26",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-409-5925",
        "authorized_official_credential": "LCSW/LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.