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

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.

Title

Clinical Director

Phone

(612) 382-5608

Specialties & licenses 1

Addresses

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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lambo Medical Supply LLC

• All providers in Rosevile, MN
• 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.