Organization Active NPI

Lighthouse Foundations Counseling

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1417817933
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIGHTHOUSE FOUNDATIONS COUNSELING
Practice address
5309 Monroe Rd Ste 110
Charlotte, NC 28205-7829
Phone
(704) 774-5284
NPI assigned
Nov 17, 2025
Last updated
Nov 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Courtney Craven, LCMHCNPI 1912570508
Title
Founder
Phone
(833) 657-4951

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5309 Monroe Rd Ste 110
Charlotte, NC 28205-7829

Mailing address

5309 Monroe Rd Ste 110
Charlotte, NC 28205-7829

National Provider Directory

National Provider Directory

Locations

5309 Monroe Rd
Ste 110
Charlotte, NC 28205
Phone (704) 774-5284

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1417817933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 MONROE RD STE 110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 MONROE RD STE 110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057829",
            "telephone_number": "704-774-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE FOUNDATIONS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "CRAVEN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "833-657-4951",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.