Lighthousetherapy, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LIGHTHOUSETHERAPY, LLC

Doing business as

LighthouseTherapy, LLC

Practice address

1777 S Harrison St Ste 401
Denver, CO 80210-3929

Phone

(833) 749-3549

Fax

(303) 376-4347

NPI assigned

Aug 2, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Evan MooreNPI 1336757509

Title

Founder/Owner

Phone

(833) 749-3549

Specialties & licenses 5

Addresses

Other names 1

• LighthouseTherapy, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evan Moore, LPCC

  • Professional Counselor
  • Denver, CO
  • NPI 1336757509
  Medicare reassignment NPD Authorized official
• Scott F Schenck, LSW

  • Social Worker
  • Fullerton, CA
  • NPI 1174914485

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1508593377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 S HARRISON ST STE 1200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103955",
            "telephone_number": "833-749-3549",
            "fax_number": "303-376-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 S HARRISON ST STE 401",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103929",
            "telephone_number": "833-749-3549",
            "fax_number": "303-376-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSETHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "833-749-3549",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LighthouseTherapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LighthouseTherapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Todd Derek Light, DDS
• Amber Lightbody
• Lighthouse Neurofeedback & Behavior Analysis, Inc.
• Lighthouse Pathways LLC
• Lighthouse Recovery Services LLC
• Lightwells Counseling PLLC
• Ana Likman, MSW
• Kalli Kristine Likness, LPC
• Karin E Liljestrand, M.D.
• Tressa Ann Lillehoff

• Mental Health Clinic/Center (Including Community Mental Health Center) in Denver, CO
• Providers in Denver, CO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.