Individual provider Active NPI

Victoria Anne Lightcap, MS, LMFTA

  • Marriage & Family Therapist
  • Fort Wayne, IN
National Provider Identifier
1508013137
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
3948 New Vision Dr Ste D
Fort Wayne, IN 46845-1721
Phone
(260) 407-7285
Fax
(260) 407-0094
NPI assigned
Aug 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

3948 New Vision Dr Ste D
Fort Wayne, IN 46845-1721

Mailing address

5618 Inland TRL
Fort Wayne, IN 46825-5907
Phone (260) 405-8471

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Counseling and Psychological Services, PC Past Accepting new patients
Cornerstone Counseling & Consulting, P.C, Past Accepting new patients

Organizations & group practices 2

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": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1508013137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5618 INLAND TRL",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255907",
            "telephone_number": "260-405-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3948 NEW VISION DR STE D",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451721",
            "telephone_number": "260-407-7285",
            "fax_number": "260-407-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTCAP",
        "first_name": "VICTORIA",
        "middle_name": "ANNE",
        "credential": "MS, LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.