NPIMap

Organization Active NPI

Lighthouse Neurofeedback & Behavior Analysis, Inc.

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1295626182
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIGHTHOUSE NEUROFEEDBACK & BEHAVIOR ANALYSIS, INC.
Doing business as
Lighthouse Neurofeedback & Behavioral Health
Practice address
12213 Pecos St Ste 500
Denver, CO 80234-3416
Phone
(720) 449-6676
Fax
(303) 374-5224
NPI assigned
Jul 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Hui-Chung Jacquelina King
Title
Director of Operations
Phone
(720) 295-2291

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X

Addresses

Primary practice location

12213 Pecos St Ste 500
Denver, CO 80234-3416

Mailing address

720 100 Yearparty CT Ste 200
Longmont, CO 80504-8591
Phone (720) 449-6676

Other identifiers 1

IdentifierTypeStateIssuer
9000153728MedicaidCO

Other names 1

  • Lighthouse Neurofeedback & Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lighthouse Neurofeedback5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1295626182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 100 YEARPARTY CT STE 200",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805048591",
            "telephone_number": "720-449-6676",
            "fax_number": "303-374-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12213 PECOS ST STE 500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802343416",
            "telephone_number": "720-449-6676",
            "fax_number": "303-374-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE NEUROFEEDBACK & BEHAVIOR ANALYSIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "HUI-CHUNG",
        "authorized_official_middle_name": "JACQUELINA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "720-295-2291"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000153728",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Neurofeedback & Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.