Active NPI
Bright Lighthouse JDP
- Mental Health Counselor
- Gorham, ME
National Provider Identifier
1538073325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- BRIGHT LIGHTHOUSE JDP
- Practice address
- 14 Lincoln St
Gorham, ME 04038-1704 - Phone
- (207) 317-7412
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacky Bokundja
- Title
- Ceo
- Phone
- (207) 317-7412
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
14 Lincoln St
Gorham, ME 04038-1704
Mailing address
14 Lincoln St
Gorham, ME 04038-1704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1538073325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 LINCOLN ST",
"city": "GORHAM",
"state": "ME",
"postal_code": "040381704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 LINCOLN ST",
"city": "GORHAM",
"state": "ME",
"postal_code": "040381704",
"telephone_number": "207-317-7412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHT LIGHTHOUSE JDP",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-29",
"status": "A",
"authorized_official_last_name": "BOKUNDJA",
"authorized_official_first_name": "JACKY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "207-317-7412"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gorham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.