Lighthouse Behavioral Health, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

149014342 Issued in IL

Legal business name

LIGHTHOUSE BEHAVIORAL HEALTH, LLC

Practice address

215 S 4TH Ave
St Charles, IL 60174-2913

Phone

(847) 347-4566

NPI assigned

Jul 21, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Michelle Berkos, LCSW

Title

Owner

Phone

(847) 346-4566

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1467730622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39W635 LORETTA DR",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601757613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S 4TH AVE",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742913",
            "telephone_number": "847-347-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "BERKOS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-346-4566",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149014342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Lew, MD
• Elizabeth Lewis, PHARMD
• Christine Ann Lichosyt, MOT, OTR/L
• Lawrence John Liesen I, DDS
• Life Journeys Counseling Inc.
• Lighthouse Family Chiropractic, LTD
• Lighthouse Recovery
• Lighthouse Recovery
• Joseph Ligler
• Krysta Leigh Lilland, DDS

• Community/Behavioral Health Agency in St Charles, IL
• Providers in St Charles, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.