Lighthouse Addiction Recovery Centre

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

37131800 Issued in WA

Legal business name

LIGHTHOUSE ADDICTION RECOVERY CENTRE

Practice address

383 Martin St
Blaine, WA 98230-4108

Phone

(360) 332-8549

Fax

(360) 332-8089

NPI assigned

Feb 18, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Joyce E Bigelow, CDP RC

Title

Clinical Supervisor

Phone

(360) 332-8509

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1609015437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 MARTIN ST",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304108",
            "telephone_number": "360-332-8549",
            "fax_number": "360-332-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 MARTIN ST",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304108",
            "telephone_number": "360-332-8549",
            "fax_number": "360-332-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE ADDICTION RECOVERY CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "BIGELOW",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "360-332-8509",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CDP  RC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "37131800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF ALCHOHOL AND SUBSTANCE ABUSE",
            "identifier": "37131800",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candace Lawson-Crossfield, MA, LMHC
• Choong Hyun Lee, D.M.D
• Jennifer Alice Leisegang, RN, MSN
• Alan Lerma
• Benjamin Li, PHARMACIST
• Amy Maria Lindeman, MEDICAL ASSIST.
• Allison B Mason
• Savannah Lynn McEwen, CBT
• Teresa Meyer
• Joseph Darryl Michelson, PT

• Community/Behavioral Health Agency in Blaine, WA
• Providers in Blaine, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.