Organization Active NPI

Lighthouse Visionary Group

  • Community/Behavioral Health Agency
  • Sacramento, CA
National Provider Identifier
1538004338
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIGHTHOUSE VISIONARY GROUP
Practice address
5621 Palm Ave
Sacramento, CA 95841-2919
Phone
(916) 735-6128
Fax
(916) 735-6128
NPI assigned
Apr 20, 2026
Organization subpart
Yes
Parent organization
LIGHTHOUSE VISIONARY GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

Name
Stacey McElheny, MCELHENY
Title
Chief Operations Officer
Phone
(916) 342-2753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5621 Palm Ave
Sacramento, CA 95841-2919

Mailing address

5621 Palm Ave
Sacramento, CA 95841-2919
Phone (916) 735-6128

National Provider Directory

National Provider Directory
Part of
Lighthouse Visionary Group

NPI Registry JSON

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

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1538004338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5621 PALM AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958412919",
            "telephone_number": "916-735-6128",
            "fax_number": "916-735-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5621 PALM AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958412919",
            "telephone_number": "916-735-6128",
            "fax_number": "916-735-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE VISIONARY GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIGHTHOUSE VISIONARY GROUP",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "MCELHENY",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "916-342-2753",
        "authorized_official_credential": "MCELHENY"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.