Lighthouse Wellness Institute

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.008341 Issued in IL

Legal business name

LIGHTHOUSE WELLNESS INSTITUTE

Practice address

1803 W 95TH St
#117
Chicago, IL 60643-1103

Phone

(773) 231-7707

Fax

(773) 435-6693

NPI assigned

Sep 19, 2013

Organization subpart

No

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

Authorized official

Name

Jennifer L Stevenson, LCPC

Title

Clinical Counselor

Phone

(773) 807-4520

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1609202878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 W 95TH ST",
            "address_2": "#117",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431103",
            "telephone_number": "773-231-7707",
            "fax_number": "773-435-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 W 95TH ST",
            "address_2": "#117",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431103",
            "telephone_number": "773-231-7707",
            "fax_number": "773-435-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE WELLNESS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "773-807-4520",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lighter Landings PLLC
• Melani Lighter, MD
• Loren Brijon Lightfoot, LCPC
• Lighthouse Psychiatry, PLLC
• Lighthouse Therapy Collective
• Lighting Fires Counseling PLLC
• Rene C Lightle, LMT
• Lights of Zion Ministries
• Brittany Rose Ligman
• Andrew Ligsay

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.