The Community Lighthouse

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

THE COMMUNITY LIGHTHOUSE

Practice address

7801 Academy Rd NE Ste 2-200
Albuquerque, NM 87109-3380

Phone

(505) 262-9391

Fax

(505) 265-7860

NPI assigned

Oct 4, 2006

Last updated

Jul 17, 2014By 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

Mr. Pierce Lee Ferriegel

Title

Coo

Phone

(505) 273-6300

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

The Community Lighthouse3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• The Community Lighthouse

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1386020840
  NPD tax ID
• The Community Lighthouse

  • Social Worker
  • Albuquerque, NM
  • NPI 1427456458
  NPD tax ID

Locations

Practitioners 8

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.

• Nicole Andrea Holcomb, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1669736062
  NPD (past)
• Monique Iron Shell

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1124494182
  NPD (past)
• Jenna Marie Koors, LMSW

  • Social Worker
  • Albuquerque, NM
  • NPI 1992181416
  NPD (past)
• Kathlen Kuhl

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1053782847
  NPD (past)
• Rebecca L. Newkirk, LMSW

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1891059424
  NPD (past)
• Gloria A Radoslovich, LPCC

  • Professional Counselor
  • Albuquerque, NM
  • NPI 1215201686
  NPD (past)
• Crystal Ruiz

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1912373978
  NPD (past)
• Candice Yazzie

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1679938963
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1215022041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 ACADEMY RD NE STE 2-200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093380",
            "telephone_number": "505-273-6300",
            "fax_number": "505-265-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 ACADEMY RD NE STE 2-200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093380",
            "telephone_number": "505-262-9391",
            "fax_number": "505-265-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMUNITY LIGHTHOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "FERRIEGEL",
        "authorized_official_first_name": "PIERCE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "505-273-6300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NM",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NM",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46984879",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• The Cataract Vision Institute LLC
• The Center for Life Changes
• The Chiropractic Care Center PC
• The Community Lighthouse
• The Community Lighthouse
• The Conscious Escape, Inc.
• The Couple and Family Therapy Center of New Mexico LLC
• The Doula Tree Network

• Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.