Lighthouse Supportive Services LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

LIGHTHOUSE SUPPORTIVE SERVICES LLC

Practice address

3918 Ferndale Cir
North Dinwiddie, VA 23803-6662

Phone

(804) 504-2976

NPI assigned

Apr 20, 2026

Last updated

Jun 16, 2026By 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

Dr. V'Tessa Jazmen Watson, LMFT

Title

Ceo

Phone

(804) 504-2976

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1639013550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 FERNDALE CIR",
            "city": "NORTH DINWIDDIE",
            "state": "VA",
            "postal_code": "238036662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 FERNDALE CIR",
            "city": "NORTH DINWIDDIE",
            "state": "VA",
            "postal_code": "238036662",
            "telephone_number": "804-504-2976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE SUPPORTIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "V'TESSA",
        "authorized_official_middle_name": "JAZMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-504-2976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.