Active NPI
Lighthouse Counseling Services, Inc.
- Addiction (Substance Use Disorder) Counselor
- Henderson, KY
National Provider Identifier
1255855920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 810183
- Legal business name
- LIGHTHOUSE COUNSELING SERVICES, INC.
- Practice address
- 203 N Elm St
Henderson, KY 42420-3132 - Phone
- (270) 826-8761
- NPI assigned
- Aug 3, 2017
- Organization subpart
- Yes
- Parent organization
- LIGHTHOUSE COUNSELING SERVICES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Hill, LCSW
- Title
- Vice President
- Phone
- (270) 827-8761
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 810183 | KY | Primary |
Addresses
Primary practice location
203 N Elm St
Henderson, KY 42420-3132
Mailing address
203 N Elm St
Henderson, KY 42420-3132
Phone (270) 826-8761
Other practice location 1
920 Frederica St Ste 407
Owensboro, KY 42301-3079
Phone (270) 689-0073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100289400 | Medicaid | KY |
National Provider Directory
National Provider Directory- Tax ID family
- Lighthouse Counseling Services Inc
- Part of
- Lighthouse Counseling Services Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Social Worker
- Henderson, KY
- NPI 1235412263
-
- Community/Behavioral Health Agency
- Owensboro, KY
- NPI 1821408485
-
- Mental Health Counselor
- Henderson, KY
- NPI 1740316058
Locations
203 N Elm St
Henderson, KY 42420
Phone (270) 826-8761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1255855920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 N ELM ST",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424203132",
"telephone_number": "270-826-8761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 N ELM ST",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424203132",
"telephone_number": "270-826-8761"
}
],
"practiceLocations": [
{
"address_1": "920 Frederica St Ste 407",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423013079",
"country_code": "US",
"telephone_number": "270-689-0073",
"fax_number": "270-689-0073",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LIGHTHOUSE COUNSELING SERVICES, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIGHTHOUSE COUNSELING SERVICES, INC.",
"enumeration_date": "2017-08-03",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "270-827-8761",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "810183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100289400",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.