The Light Program, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

125090 Issued in PA

Legal business name

THE LIGHT PROGRAM, INC.

Doing business as

The Light Program

Practice address

1440 Russell Rd
Paoli, PA 19301-1236

Phone

(814) 552-0229

Fax

(610) 644-4066

NPI assigned

Jul 23, 2006

Last updated

Jan 14, 2025By 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

Debbie Sattler

Title

Emr Helpdesk Supervisor

Phone

(814) 552-0229

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• The Light Program Doing business as

Tax ID family

The Light Program Inc2 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.

• The Light Program, Inc.

  • Psychiatric Residential Treatment Facility
  • Moscow, PA
  • NPI 1790513893
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• The Light Program, Inc.

  • Psychiatric Residential Treatment Facility
  • Moscow, PA
  • NPI 1790513893
  NPPES parent name

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1396766333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 AMERICAN AVE STE 201",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064031",
            "telephone_number": "814-552-0229",
            "fax_number": "610-981-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 RUSSELL RD",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011236",
            "telephone_number": "814-552-0229",
            "fax_number": "610-644-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIGHT PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "SATTLER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "EMR HELPDESK SUPERVISOR",
        "authorized_official_telephone_number": "814-552-0229"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "125090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7016608",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0001788000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Light Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Light Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Paoli, PA
• Providers in Paoli, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.