Active NPI
Lighthouse Family Services LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Las Cruces, NM
National Provider Identifier
1407359136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- C-10254
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.