Lighthouse Counseling & Wellness, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LIGHTHOUSE COUNSELING & WELLNESS, PLLC

Doing business as

Lighthouse Counseling & Wellness

Practice address

2124 Riverside Dr Ste 210
Mount Vernon, WA 98273-5454

Phone

(360) 230-8424

NPI assigned

May 15, 2024

Organization subpart

No

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

Authorized official

Name

Emily EvergreenNPI 1841023033

Title

Owner

Phone

(206) 612-4452

Specialties & licenses 2

Addresses

Other names 1

• Lighthouse Counseling & Wellness Doing business as

Locations

Practitioners 1

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

• Emily Evergreen

  • Mental Health Counselor
  • Mount Vernon, WA
  • NPI 1841023033
  NPD Authorized official

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1336998970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 RIVERSIDE DR",
            "address_2": "STE 210",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735454",
            "telephone_number": "206-612-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 RIVERSIDE DR STE 210",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735454",
            "telephone_number": "360-230-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE COUNSELING & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "EVERGREEN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-612-4452"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Counseling & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert R. Lessard, PAC
• Richard S Levine, M.D.
• Angie Lewis, ARNP
• Brooklyn Liberato
• Amanda Light, LMHC
• Tina Marie Linares, MFT
• Karen Renee Linder
• Jasmin A Lines
• Rebecca Ann Link, MD
• Hadley Elizabeth Lipana, MD

• Adult Mental Health Clinic/Center in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Adult Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.