Organization Active NPI

Lighthouse Therapy & Assessment Services PLLC

  • Professional Counselor
  • Longview, TX
National Provider Identifier
1174334023
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LIGHTHOUSE THERAPY & ASSESSMENT SERVICES PLLC
Practice address
911Northwest Loop 281 Suite 312
Longview, TX 75604
Phone
(469) 334-3615
Fax
(469) 361-8241
NPI assigned
Jan 17, 2025
Last updated
Mar 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Taylor Parker, LPC, ICST.NPI 1669138772
Title
Authorized Official
Phone
(903) 736-1028

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
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

911Northwest Loop 281 Suite 312
Longview, TX 75604

Mailing address

414 Lura St
Longview, TX 75603-9322
Phone (469) 334-3615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250429002767 TX Part B Supplier - Clinic/Group Practice 0042736381 Receives reassigned benefits from 1 practitioner
Practice locations: Longview, TX

National Provider Directory

National Provider Directory

Locations

2401 Judson Rd
Ste 102
Longview, TX 75605
Phone (469) 334-3615

911 W Loop 281
Ste 312
Longview, TX 75604
Phone (469) 334-3615

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": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1174334023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 LURA ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756039322",
            "telephone_number": "469-334-3615",
            "fax_number": "469-361-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911NORTHWEST LOOP 281 SUITE 312",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75604",
            "telephone_number": "469-334-3615",
            "fax_number": "469-361-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE THERAPY & ASSESSMENT SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "903-736-1028",
        "authorized_official_credential": "LPC, ICST."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.