Lighthouse Counseling Services LCSW PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LIGHTHOUSE COUNSELING SERVICES LCSW PLLC

Practice address

112 W Main St Ste 4
Fredonia, NY 14063-2149

Phone

(716) 680-8101

Fax

(716) 680-8102

NPI assigned

Sep 14, 2018

Organization subpart

No

Name

Carol Ludwig, LCSWRNPI 1023155686

Title

Sole Member

Phone

(716) 680-8101

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol J Ludwig

  • Clinical Social Worker
  • Dunkirk, NY
  • NPI 1023155686

  NY

  Medicare reassignment NPD Authorized official
• Rebecca Brown-Young, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • North Collins, NY
  • NPI 1588069348
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 14, 2018.

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1609359744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W MAIN ST STE 4",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140632149",
            "telephone_number": "716-680-8101",
            "fax_number": "716-680-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W MAIN ST STE 4",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140632149",
            "telephone_number": "716-680-8101",
            "fax_number": "716-680-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE COUNSELING SERVICES LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "LUDWIG",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "716-680-8101",
        "authorized_official_credential": "LCSWR"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Laskowski, DO
• Jill M Lawson, RPH
• Judith Rene Layman, R.N.
• Laurel Lees
• Colleen G. Lewis, PH.D.
• Roberta Logsdon, MS ED
• Antoinette A Lukasik, DDS
• Margaret Rose Luther, RN
• Tawsufe Majid
• Jenna Majka

• All providers in Fredonia, NY
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.