Active NPI
Lighthouse Mental Health Counseling, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Florence, KY
National Provider Identifier
1184216590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- LIGHTHOUSE MENTAL HEALTH COUNSELING, LLC
- Practice address
- 2390 Preservation Way
Florence, KY 41042-7879 - Phone
- (804) 240-0618
- NPI assigned
- Feb 7, 2021
- Last updated
- Jun 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Borum Warriner, LPCC-S
- Title
- Owner/Provider
- Phone
- (859) 957-6067
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
2390 Preservation Way
Florence, KY 41042-7879
Mailing address
2390 Preservation Way
Florence, KY 41042-7879
Phone (859) 957-6067
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100726530 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Professional Counselor
- Florence, KY
- NPI 1700245081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688083200000",
"number": "1184216590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2390 PRESERVATION WAY",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410427879",
"telephone_number": "859-957-6067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2390 PRESERVATION WAY",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410427879",
"telephone_number": "804-240-0618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHTHOUSE MENTAL HEALTH COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-07",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A",
"authorized_official_last_name": "WARRINER",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "BORUM",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "859-957-6067",
"authorized_official_credential": "LPCC-S"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100726530",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.