NPIMap

Organization Active NPI

Shining Light Counseling

Doing business as Life and Hope Counseling Center

  • Mental Health Counselor
  • Eustis, FL
National Provider Identifier
1629433297
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SHINING LIGHT COUNSELING
Doing business as
Life and Hope Counseling Center
Practice address
15930 US Highway 441 Ste D
Eustis, FL 32726-6552
Phone
(352) 978-6687
Fax
(352) 240-1066
NPI assigned
Dec 23, 2015
Last updated
Oct 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Bruce Barbre
Title
Office Manager
Phone
(407) 256-4260

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X MH13825 FL
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

15930 US Highway 441 Ste D
Eustis, FL 32726-6552

Mailing address

15930 US Highway 441 Ste D
Eustis, FL 32726-6552
Phone (352) 978-6687

Other practice location 1

365 Citrus Tower Blvd Ste 108
Clermont, FL 34711-6532
Phone (352) 978-6687

Other identifiers 2

IdentifierTypeStateIssuer
016389301MedicaidFL
016389300MedicaidFL

Other names 1

  • Life and Hope Counseling Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191216000454 FL Part B Supplier - Clinic/Group Practice 2163855651 Receives reassigned benefits from 4 practitioners
Practice locations: Clermont, FL; Eustis, FL

National Provider Directory

National Provider Directory

Locations

365 Citrus Tower Blvd
Ste 108
Clermont, FL 34711
Phone (352) 978-6687

15930 US Highway 441
Ste D
Eustis, FL 32726
Phone (352) 978-6687

4400 N Highway 19A
Ste 5
Mount Dora, FL 32757
Phone (352) 501-8210

Practitioners & affiliated clinicians

Practitioners 8

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": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1629433297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15930 US HIGHWAY 441 STE D",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266552",
            "telephone_number": "352-978-6687",
            "fax_number": "352-240-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15930 US HIGHWAY 441 STE D",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266552",
            "telephone_number": "352-978-6687",
            "fax_number": "352-240-1066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 Citrus Tower Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347116532",
            "country_code": "US",
            "telephone_number": "352-978-6687",
            "fax_number": "352-240-1066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHINING LIGHT COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "BARBRE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-256-4260"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13825",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016389301",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016389300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life and Hope Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life and Hope Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.