Organization Active NPI

Lighthouse Counseling, Cathy Liane, M.S.L.P.,LLC

  • Cognitive & Behavioral Psychologist
  • Nisswa, MN
National Provider Identifier
1457189359
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
LIGHTHOUSE COUNSELING, CATHY LIANE, M.S.L.P.,LLC
Practice address
4820 County Road 77 Ste 2
Nisswa, MN 56468-2708
Phone
(218) 821-4923
Fax
(218) 961-4923
NPI assigned
Jul 23, 2024
Last updated
Jul 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Ms. Cathy Sue Liane, MSLPNPI 1063435543
Title
Owner & Licensed Psychologist
Phone
(218) 821-4923

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
Cognitive & Behavioral PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TB0200X Primary

Addresses

Primary practice location

4820 County Road 77 Ste 2
Nisswa, MN 56468-2708

Mailing address

PO Box 68
Nisswa, MN 56468-0068
Phone (218) 821-4923

National Provider Directory

National Provider Directory

Locations

4820 County Road 77
Ste 2
Nisswa, MN 56468
Phone (218) 821-4923

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": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1457189359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "NISSWA",
            "state": "MN",
            "postal_code": "564680068",
            "telephone_number": "218-821-4923",
            "fax_number": "218-961-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 COUNTY ROAD 77 STE 2",
            "city": "NISSWA",
            "state": "MN",
            "postal_code": "564682708",
            "telephone_number": "218-821-4923",
            "fax_number": "218-961-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE COUNSELING, CATHY LIANE, M.S.L.P.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "LIANE",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER & LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "218-821-4923",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSLP"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nisswa, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.