NPIMap

Organization Active NPI

Lighthouse Addiction Services

  • Addiction (Substance Use Disorder) Counselor
  • Port Charlotte, FL
National Provider Identifier
1639408263
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2008AD0345-00 Issued in FL
Legal business name
LIGHTHOUSE ADDICTION SERVICES
Practice address
3596 Tamiami TRL
Suite 205
Port Charlotte, FL 33952-8263
Phone
(941) 255-5900
Fax
(941) 764-8285
NPI assigned
Dec 10, 2009
Organization subpart
Yes
Parent organization
HARBOR COUNSELING AND LIGHTHOUSE ADDICTION SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Mr. Frederick William, Carl Ropke IV, MA, LMHC
Title
President / Counselor
Phone
(941) 255-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 2008AD0345-00 FL Primary

Addresses

Primary practice location

3596 Tamiami TRL
Suite 205
Port Charlotte, FL 33952-8263

Mailing address

3596 Tamiami TRL Ste 205
Port Charlotte, FL 33952-8252
Phone (941) 255-5900

Other names 1

  • Harbor Counseling Other name

National Provider Directory

National Provider Directory
Tax ID family
Harbor Counseling Services2 organizations share this tax ID, including this one
Part of
Harbor Counseling Services

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1639408263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3596 TAMIAMI TRL STE 205",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528252",
            "telephone_number": "941-255-5900",
            "fax_number": "941-764-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3596 TAMIAMI TRL",
            "address_2": "SUITE 205",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528263",
            "telephone_number": "941-255-5900",
            "fax_number": "941-764-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE ADDICTION SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARBOR COUNSELING AND LIGHTHOUSE ADDICTION SERVICES",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "ROPKE",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "WILLIAM, CARL",
        "authorized_official_title_or_position": "PRESIDENT / COUNSELOR",
        "authorized_official_telephone_number": "941-255-5900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "2008AD0345-00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.