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

Last updated

Sep 14, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol Ludwig, LCSWRNPI 1023155686

Title

Sole Member

Phone

(716) 680-8101

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Carol J Ludwig

  • Clinical Social Worker
  • Dunkirk, NY
  • NPI 1023155686
  Medicare reassignment NPD Authorized official
• Rebecca Brown-Young, PMHNP

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

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

{
    "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

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fredonia, NY
• Providers in Fredonia, NY by specialty
• 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.