The Lighted Path PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE LIGHTED PATH PLLC

Practice address

350 N Court St
Suite 204-B
Lapeer, MI 48446-2263

Phone

(810) 692-1641

NPI assigned

Dec 30, 2022

Last updated

Jul 3, 2023By 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

Christine McCullough, LMSWNPI 1881126506

Title

Sole Member

Phone

(810) 423-0342

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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.

• Christine McCullough, LLMSW

  • Social Worker
  • Lapeer, MI
  • NPI 1881126506
  Medicare reassignment NPD Authorized official
• Dana M Timmer, M.A.

  • Audiologist
  • Midlothian, VA
  • NPI 1033442629
  NPD

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1306559703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 BISCAYNE CT",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463293",
            "telephone_number": "810-423-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N COURT ST",
            "address_2": "SUITE 204-B",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462263",
            "telephone_number": "810-692-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIGHTED PATH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-30",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "810-423-0342",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Mae Tatro, LPC
• Jalyn Laura Taylor
• Pamela Taylor
• Johnny Thames
• The Hearing Institut LLC
• The Nesting Spot LLC
• Thibodeau Physical Therapy Limited Partnership
• David L Thibodeau, PT
• Christina Thick, R.N.
• Bernard E Thomas, RPH

• Clinical Social Worker in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.