Lamplight Therapy LLC

Primary specialty

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

Legal business name

LAMPLIGHT THERAPY LLC

Practice address

20 N 5TH St
Cottage Grove, OR 97424-2005

Phone

(541) 357-8082

Fax

(866) 931-2340

NPI assigned

Feb 28, 2025

Organization subpart

No

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

Authorized official

Name

Antra Victoria Renault, LCSWNPI 1942630983

Title

Owner, Therapist

Phone

(541) 357-8082

Specialties & licenses 3

Addresses

Practitioners 1

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

• Antra Renault, LCSW, MSW

  • Clinical Social Worker
  • Cottage Grove, OR
  • NPI 1942630983
  NPD Authorized official

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1609673391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73560 ABEENE LN",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974249201",
            "telephone_number": "541-357-8082",
            "fax_number": "866-931-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N 5TH ST",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974242005",
            "telephone_number": "541-357-8082",
            "fax_number": "866-931-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMPLIGHT THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "RENAULT",
        "authorized_official_first_name": "ANTRA",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "541-357-8082",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Kolodziejczak, CSWA
• Yulia Kotlyar
• Daniel Kranitz, DO
• L Brent Bitner DDS PC
• Melissa Ladd, EPDH
• Timothy Paul Landry, LCSW
• Lane Emergency Physicians, LLC
• Sydelle Lang
• Jean Langkow, ANP
• Melissa Lanham, L.M.T.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Cottage Grove, OR
• Providers in Cottage Grove, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.