NPIMap

Organization Active NPI

The Lighthouse Mentoring Center

Doing business as Lighthouse Mentoring Center

  • Mental Illness Community Based Residential Treatment Facility
  • Pittsburg, CA
National Provider Identifier
1174117741
Registry record updated Jun 1, 2022
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
Practice address
325 Cumberland St
Pittsburg, CA 94565-2205
Phone
(925) 267-2578
Fax
(707) 745-2510
NPI assigned
Feb 24, 2021
Last updated
Jun 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Ms. Phyllis Ritter, LMFT (52443)NPI 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

325 Cumberland St
Pittsburg, CA 94565-2205

Mailing address

PO Box 853
Pittsburg, CA 94565-0085
Phone (925) 267-2578

Other names 1

  • Lighthouse Mentoring Center Doing business as

National Provider Directory

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

Other organizations with this tax ID 5

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

Locations

325 Cumberland St
Pittsburg, CA 94565
Phone (510) 326-7867

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": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1174117741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 853",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945650085",
            "telephone_number": "925-267-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CUMBERLAND ST",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945652205",
            "telephone_number": "925-267-2578",
            "fax_number": "707-745-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIGHTHOUSE MENTORING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "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_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT (52443)"
    },
    "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",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.