Individual provider Active NPI

Olivia Heldt, CTRS

  • Recreation Therapist
  • Kingsley, MI
National Provider Identifier
1427706928
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
License
68618 Issued in MI
Practice address
4040 Beacon St
Kingsley, MI 49649-9548
Phone
(231) 263-1350
NPI assigned
Mar 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X 68618 MI Primary

Addresses

Primary practice location

4040 Beacon St
Kingsley, MI 49649-9548

Mailing address

11450 East Dr
Fife Lake, MI 49633-9641
Phone (231) 649-0277

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ojacques@lighthouserehab.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
68618MIMDRecreation Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse, Inc. PastSince Mar 20, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1427706928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11450 EAST DR",
            "city": "FIFE LAKE",
            "state": "MI",
            "postal_code": "496339641",
            "telephone_number": "231-649-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 BEACON ST",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496499548",
            "telephone_number": "231-263-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELDT",
        "first_name": "OLIVIA",
        "credential": "CTRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "MI",
            "license": "68618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ojacques@lighthouserehab.com",
            "affiliation": "N",
            "address_1": "4040 Beacon St",
            "city": "Kingsley",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496499548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingsley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.