The Lighthouse Addiction Recovery Centre

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

37131800 Issued in WA

Legal business name

THE LIGHTHOUSE ADDICTION RECOVERY CENTRE

Practice address

374 H St
Blaine, WA 98230-4109

Phone

(360) 543-5339

Fax

(360) 543-5339

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Joyce A Bigelow

Title

Clinical Supervisor

Phone

(360) 543-9061

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154531853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 H STREET",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304109",
            "telephone_number": "360-543-5339",
            "fax_number": "360-543-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 H ST",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304109",
            "telephone_number": "360-543-5339",
            "fax_number": "360-543-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIGHTHOUSE ADDICTION RECOVERY CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIGELOW",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "360-543-9061"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WA",
            "license": "37131800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Szostak
• Elizabeth Rose Taets Von Amerongen, LPC
• The Evangelical Lutheran Good Samaritan Society
• The Evangelical Lutheran Good Samaritan Society
• The Fare Square, LLC
• Madeline Lynn Tompkins, MA A
• Touchstone Behavioral Health, LLC
• Touchstone Behavioral Health, LLC
• Ian Van Niman
• Richard Vanwinkle

• Substance Abuse Rehabilitation Facility in Blaine, WA
• Providers in Blaine, WA by specialty
• Substance Abuse Rehabilitation Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.