NPIMap

Organization Active NPI

Lighthouse Mental Health Services

  • Clinical Social Worker
  • Madison, AL
National Provider Identifier
1457177388
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIGHTHOUSE MENTAL HEALTH SERVICES
Practice address
8215 Madison Blvd Ste 150
Madison, AL 35758-2034
Phone
(256) 325-2500
Fax
(866) 896-3657
NPI assigned
Nov 25, 2024
Last updated
Nov 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Diamond Colley
Title
Owner
Phone
(256) 325-2500

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Clinical Psychologist 103TC0700X
Clinical Social Worker 1041C0700X Primary
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

8215 Madison Blvd Ste 150
Madison, AL 35758-2034

Mailing address

8215 Madison Blvd Ste 150
Madison, AL 35758-2034
Phone (256) 325-2500

National Provider Directory

National Provider Directory

Locations

8215 Madison Blvd
Ste 150
Madison, AL 35758
Phone (256) 325-2500

Practitioners & affiliated clinicians

Practitioners 9

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": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1457177388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 MADISON BLVD STE 150",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582034",
            "telephone_number": "256-325-2500",
            "fax_number": "866-896-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 MADISON BLVD STE 150",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582034",
            "telephone_number": "256-325-2500",
            "fax_number": "866-896-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "COLLEY",
        "authorized_official_first_name": "DIAMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-325-2500"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.