Organization Active NPI

Lighthouse Family Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Cruces, NM
National Provider Identifier
1407359136
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
C-10254 Issued in NM
Legal business name
LIGHTHOUSE FAMILY SERVICES LLC
Practice address
1485 N Main St Ste C
Las Cruces, NM 88001-1182
Phone
(575) 312-8257
NPI assigned
Mar 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Authorized official

Name
Isabel Gonzales, LCSW
Title
Owner
Phone
(575) 312-8257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X C-10254 NM Primary

Addresses

Primary practice location

1485 N Main St Ste C
Las Cruces, NM 88001-1182

Mailing address

3404 Del Rio CT
Las Cruces, NM 88007-4938
Phone (575) 312-8257

National Provider Directory

National Provider Directory

Locations

1485 N Main St
Ste C
Las Cruces, NM 88001
Phone (575) 312-8257

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1407359136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 DEL RIO CT",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880074938",
            "telephone_number": "575-312-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 N MAIN ST STE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011182",
            "telephone_number": "575-312-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-312-8257",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NM",
            "license": "C-10254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.