Luminary Guiding Light

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

LUMINARY GUIDING LIGHT

Practice address

205 E 2ND St
Blue Earth, MN 56013-1905

Phone

(228) 224-6126

NPI assigned

Jun 29, 2024

Last updated

Jun 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kendrick Bates, CFPSNPI 1003651050

Title

Mental Health Practitioner

Phone

(228) 224-6126

Specialties & licenses 1

Addresses

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.

• Kendrick Bates

  • Peer Specialist
  • Blue Earth, MN
  • NPI 1003651050
  NPD Authorized official

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719619200000",
    "number": "1184469132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 2ND ST",
            "city": "BLUE EARTH",
            "state": "MN",
            "postal_code": "560131905",
            "telephone_number": "228-224-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 2ND ST",
            "city": "BLUE EARTH",
            "state": "MN",
            "postal_code": "560131905",
            "telephone_number": "228-224-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINARY GUIDING LIGHT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "KENDRICK",
        "authorized_official_title_or_position": "MENTAL HEALTH PRACTITIONER",
        "authorized_official_telephone_number": "228-224-6126",
        "authorized_official_credential": "CFPS"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobby L. Karp Jr., MD
• K. Stephen Kazi, M.D.
• Lindsey Keithahn, LPCC
• Carolyn Kryzer, RDN
• Patricia Sue Lindsey
• Chad Alan Malwitz, D.C.
• Debra L McCarty, DO
• Michael H McCarty, PA-C
• Ryan W Milbrandt, PHARMD
• Rosalie M Narveson

• Local Education Agency (LEA) in Blue Earth, MN
• Providers in Blue Earth, MN by specialty
• Local Education Agency (LEA) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; 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.