NPIMap

Organization Active NPI

Lighthouse Behavioral Health, LLC

  • Behavior Analyst
  • Ormond Beach, FL
National Provider Identifier
1609316959
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LIGHTHOUSE BEHAVIORAL HEALTH, LLC
Practice address
533 N Nova Rd Ste 112
Ormond Beach, FL 32174-4420
Phone
(386) 492-9041
Fax
(386) 492-9061
NPI assigned
Mar 6, 2017
Last updated
May 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Courtney Mahairas, MA,CCMHC,LMHC,BCBANPI 1225363898
Title
Clinical Director
Phone
(386) 492-9041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

533 N Nova Rd Ste 112
Ormond Beach, FL 32174-4420

Mailing address

533 N Nova Rd Ste 112
Ormond Beach, FL 32174-4420
Phone (386) 492-9041

Other identifiers 2

IdentifierTypeStateIssuer
104796400MedicaidFL
104313500MedicaidFL

National Provider Directory

National Provider Directory

Locations

533 N Nova Rd
Ste 112
Ormond Beach, FL 32174
Phone (386) 492-9041

595 N Nova Rd
Ste 119
Ormond Beach, FL 32174
Phone (386) 492-9041

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1609316959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 N NOVA RD STE 112",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744420",
            "telephone_number": "386-492-9041",
            "fax_number": "386-492-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 N NOVA RD STE 112",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744420",
            "telephone_number": "386-492-9041",
            "fax_number": "386-492-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "MAHAIRAS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "386-492-9041",
        "authorized_official_credential": "MA,CCMHC,LMHC,BCBA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104796400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104313500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.