NPIMap

Organization Active NPI

Leading Light Behavioral Health, Inc

Doing business as LLBH

  • Professional Counselor
  • Brockton, MA
National Provider Identifier
1225688708
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LEADING LIGHT BEHAVIORAL HEALTH, INC
Doing business as
LLBH
Practice address
19 Riverside Ave
Brockton, MA 02301-6898
Phone
(508) 690-6069
Fax
(857) 219-5242
NPI assigned
Sep 16, 2019
Last updated
Sep 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Guan Q EllerbeNPI 1578993028
Title
Owner
Phone
(508) 690-6069

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU Primary
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

19 Riverside Ave
Brockton, MA 02301-6898

Mailing address

500 Westgate Dr # 1006
Brockton, MA 02301-1855
Phone (508) 690-6069

Other names 1

  • LLBH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220622002137 MA Part B Supplier - Clinic/Group Practice 5193104107 Receives reassigned benefits from 1 practitioner
Practice locations: Brockton, MA

National Provider Directory

National Provider Directory

Locations

19 Riverside Ave
Brockton, MA 02301
Phone (508) 690-6069

19 Riverside Ave
Unit 16
Brockton, MA 02301

33 Dover St
Ste 317
Brockton, MA 02301
Phone (508) 521-9044

500 Westgate Dr
Ste 1006
Brockton, MA 02301

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1225688708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WESTGATE DR # 1006",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011855",
            "telephone_number": "508-690-6069",
            "fax_number": "857-219-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 RIVERSIDE AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023016898",
            "telephone_number": "508-690-6069",
            "fax_number": "857-219-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADING LIGHT BEHAVIORAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "ELLERBE",
        "authorized_official_first_name": "GUAN",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-690-6069"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLBH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LLBH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.