Light to Wellness Therapy and Consulting Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LIGHT TO WELLNESS THERAPY AND CONSULTING SERVICES LLC

Practice address

1676 Belleau Wood Dr
Saint Peters, MO 63376-4564

Phone

(636) 229-1290

NPI assigned

Apr 16, 2022

Organization subpart

No

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

Authorized official

Name

Zina Jackson, LCSWNPI 1639513617

Title

Owner/Founder

Phone

(636) 229-1290

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zina Jackson, LICSW

  • Clinical Social Worker
  • Fuquay Varina, NC
  • NPI 1639513617
  NPD Authorized official

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

{
    "created_epoch": "1650067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650067200000",
    "number": "1194468298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1676 BELLEAU WOOD DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633764564",
            "telephone_number": "636-229-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 BELLEAU WOOD DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633764564",
            "telephone_number": "636-229-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT TO WELLNESS THERAPY AND CONSULTING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-16",
        "last_updated": "2022-04-16",
        "certification_date": "2022-04-16",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ZINA",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "636-229-1290",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Sue Lienau, PHARM.D.
• Life Changing Home Health & Adult Day Care, Inc. (Life Changing Adult Day Care, Inc.)
• Life Way Counseling Services LLC
• Lifetime Psychiatry LLC
• Nicholas J Liford, DC
• Grace Ligibel, BCBA
• Samantha Nicole Lillico, FNP-C
• Esther Lima, PHARMACIST
• Ashlee Lindgren
• Timothy Duane Lindsey, BARBER

• Clinical Social Worker in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.