NPIMap

Organization Active NPI

Lighthouse Behavioral Health PLLC

Doing business as Lighthouse Behavioral Health

  • Mental Health Counselor
  • Oak Harbor, WA
National Provider Identifier
1306553896
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIGHTHOUSE BEHAVIORAL HEALTH PLLC
Doing business as
Lighthouse Behavioral Health
Practice address
390 NE Midway Blvd Ste B103
Oak Harbor, WA 98277-2645
Phone
(360) 682-6167
NPI assigned
Nov 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Mrs. Mirilani L Dale, LMHCNPI 1982050498
Title
Owner
Phone
(360) 682-6167

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

390 NE Midway Blvd Ste B103
Oak Harbor, WA 98277-2645

Mailing address

390 NE Midway Blvd Ste B103
Oak Harbor, WA 98277-2645
Phone (360) 682-6167

Other names 1

  • Lighthouse Behavioral Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260409002255 WA Part B Supplier - Clinic/Group Practice 3173098902 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Harbor, WA

National Provider Directory

National Provider Directory

Locations

390 NE Midway Blvd
Ste B203
Oak Harbor, WA 98277
Phone (360) 682-6167

390 NE Midway Blvd
Ste B103
Oak Harbor, WA 98277
Phone 3606826167 ext. 75484

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1306553896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 NE MIDWAY BLVD STE B103",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982772645",
            "telephone_number": "360-682-6167",
            "fax_number": "360-682-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 NE MIDWAY BLVD STE B103",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982772645",
            "telephone_number": "360-682-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "MIRILANI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-682-6167",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.