Lighthouse Counseling Center and Associated Therapeutic Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIGHTHOUSE COUNSELING CENTER AND ASSOCIATED THERAPEUTIC SERVICES, LLC

Practice address

901 Arsenal Ave Ste 202
Fayetteville, NC 28305-5478

Phone

(910) 323-3368

Fax

(910) 486-7000

NPI assigned

Apr 16, 2009

Last updated

Dec 8, 2022By 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

Dr. Chester Michael Martin, MA,MS,M ED, D. MINNPI 1457301079

Title

Administrator

Phone

(910) 323-3368

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

Lighthouse Counseling Center and Associated Therapeutic Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lighthouse Counseling Center and Associated Therapeutic Services, LLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1023415551
  NPD tax ID

Practitioners 1

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.

• Chester Michael Martin, LPC, LPCS, ACS, NBCC

  • Professional Counselor
  • Fayetteville, NC
  • NPI 1457301079
  NPD Authorized official

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1316180565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ARSENAL AVE",
            "address_2": "SUITE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055398",
            "telephone_number": "910-323-3368",
            "fax_number": "910-486-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ARSENAL AVE STE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055478",
            "telephone_number": "910-323-3368",
            "fax_number": "910-486-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE COUNSELING CENTER AND ASSOCIATED THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-323-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MA,MS,M ED, D. MIN"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301795",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008209",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.