Organization Active NPI

Lighthouse Counseling Services, PLLC

  • Mental Health Counselor
  • Riverton, UT
National Provider Identifier
1164073086
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIGHTHOUSE COUNSELING SERVICES, PLLC
Practice address
3409 W 12600 S Ste 110
Riverton, UT 84065-7270
Phone
(385) 237-4943
Fax
(385) 259-1035
NPI assigned
Sep 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Authorized official

Name
Laura Janeen Da Silva, CMHC
Title
Owner/Therapist
Phone
(385) 237-4943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3409 W 12600 S Ste 110
Riverton, UT 84065-7270

Mailing address

3409 W 12600 S Ste 110
Riverton, UT 84065-7270
Phone (385) 237-4943

Other identifiers 2

IdentifierTypeStateIssuer
1477836369OtherUTNPI
1407116833OtherUTNPI

Other names 1

  • Laura da Silva, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

3409 W 12600 S
Ste 110
Riverton, UT 84065
Phone (385) 237-4943

Practitioners & affiliated clinicians

Practitioners 4

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": "1569196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569196800000",
    "number": "1164073086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 W 12600 S STE 110",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657270",
            "telephone_number": "385-237-4943",
            "fax_number": "385-259-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 W 12600 S STE 110",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657270",
            "telephone_number": "385-237-4943",
            "fax_number": "385-259-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A",
        "authorized_official_last_name": "DA SILVA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "JANEEN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "385-237-4943",
        "authorized_official_credential": "CMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477836369",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407116833",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laura da Silva, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.