Lighthouse Professional Clinic, P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LIGHTHOUSE PROFESSIONAL CLINIC, P.C.

Practice address

409 W Ludington Ave Ste 307
Ludington, MI 49431-2377

Phone

(231) 843-8877

Fax

(231) 845-0264

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Stanley L Seuferer, D.O.

Title

Owner

Phone

(231) 843-8877

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 7

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

• Brian Albert Ameel, MD

  • Psychiatry Physician
  • Saginaw, MI
  • NPI 1124095971
  NPD (past)
• Kathryn A Cain-Torrez, LMSW ACSW

  • Clinical Social Worker
  • Ludington, MI
  • NPI 1730178534
  NPD (past)
• Sue E Lauver, MD

  • Psychiatry Physician
  • Ludington, MI
  • NPI 1134118961
  NPD (past)
• Deborah L Reeths, ACSW

  • Clinical Social Worker
  • Ludington, MI
  • NPI 1295724094
  NPD (past)
• Judith P Rocap, PSYD

  • Psychologist
  • Ludington, MI
  • NPI 1063559201
  NPD (past)
• Barry G Stearns, LPC

  • Professional Counselor
  • Ludington, MI
  • NPI 1447408695
  NPD (past)
• Paula Kathleen Wietrzykowski, L.M.S.W.

  • Social Worker
  • Free Soil, MI
  • NPI 1912959479
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1407902109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W LUDINGTON AVE STE 307",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312377",
            "telephone_number": "231-843-8877",
            "fax_number": "231-845-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W LUDINGTON AVE STE 307",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312377",
            "telephone_number": "231-843-8877",
            "fax_number": "231-845-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE PROFESSIONAL CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "SEUFERER",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-843-8877",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "100E310320",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "100E361760",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "800E310020",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jack Leonard, COTA
• Tanya L Lesinski, RD
• Cecilia Lester, LLMSW
• Lifespan Behavioral Health PLLC
• Lighthouse Associates LLC
• Lincare Inc.
• Gabrielle Marie Lindbloom, FNP
• Brian Webb Lindenborn, CRNA
• Ana Lindsey, LPC
• Jalie Mowry Lipa, NP-BC, CRNA

• Psychiatry Physician in Ludington, MI
• Providers in Ludington, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.