Organization Active NPI

Lighted Path Recovery Center

  • Marriage & Family Therapist
  • Lubbock, TX
National Provider Identifier
1144875949
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
LIGHTED PATH RECOVERY CENTER
Practice address
4216 102ND St Ste 15
Lubbock, TX 79423-5707
Phone
(682) 738-5482
NPI assigned
Aug 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Authorized official

Name
Cynthia Jefferson, PHD, LMFT-S
Title
Owner
Phone
(682) 738-5482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

4216 102ND St Ste 15
Lubbock, TX 79423-5707

Mailing address

4410 121St LN
Lubbock, TX 79424-1386

National Provider Directory

National Provider Directory

Locations

4010 82nd St
Ste 105
Lubbock, TX 79423

4216 102nd St
Ste 15
Lubbock, TX 79423
Phone (682) 738-5482

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": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1144875949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 121ST LN",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 102ND ST STE 15",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794235707",
            "telephone_number": "682-738-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTED PATH RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-738-5482",
        "authorized_official_credential": "PHD, LMFT-S"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.