Lighthouse Counseling Services LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1221 Issued in MN

Legal business name

LIGHTHOUSE COUNSELING SERVICES LLC

Practice address

1935 County Rd B2
Rosevile, MN 55113-2703

Phone

(612) 382-5608

Fax

(651) 528-6400

NPI assigned

Nov 26, 2013

Last updated

Nov 26, 2013By 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. James A Peasley, M.A., L.M.F.T.NPI 1790858264

Title

Clinical Director

Phone

(612) 382-5608

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.

• James Archie Peasley, LMFT

  • Marriage & Family Therapist
  • Roseville, MN
  • NPI 1790858264
  Authorized official Same address or phone

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1235569476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7132 MORGAN AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232938",
            "telephone_number": "612-382-5608",
            "fax_number": "651-528-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 COUNTY RD B2",
            "city": "ROSEVILE",
            "state": "MN",
            "postal_code": "551132703",
            "telephone_number": "612-382-5608",
            "fax_number": "651-528-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "PEASLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "612-382-5608",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., L.M.F.T."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lambo Medical Supply LLC

• Marriage & Family Therapist in Rosevile, MN
• Providers in Rosevile, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.