Active NPI
Lighthouse of Hope Counseling Center
- Point of Service
- Sunnyvale, CA
National Provider Identifier
1649337338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 14217
- Legal business name
- LIGHTHOUSE OF HOPE COUNSELING CENTER
- Practice address
- 1515 Partridge Ave
Sunnyvale, CA 94087-4952 - Phone
- (408) 716-8101
- Fax
- (408) 736-5752
- NPI assigned
- Jan 2, 2007
- Organization subpart
- Yes
- Parent organization
- YES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Gloria Jean Baxter, LCSW
- Title
- Chief Executive Officer
- Phone
- (408) 716-8101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | 14217 | CA | Primary |
Addresses
Primary practice location
1515 Partridge Ave
Sunnyvale, CA 94087-4952
Mailing address
1515 Partridge Ave
Sunnyvale, CA 94087-4952
Phone (140) 871-6810
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649337338 | Other | CA | BEHAVIORAL HEALTH PROVIDE |
| 1649337338 | Other | CA | SOCIAL SERVICE PROVIDER |
National Provider Directory
National Provider Directory- Part of
- Lighthouse of Hope Counseling Center
Locations
1515 Partridge Ave
Sunnyvale, CA 94087
Phone (408) 716-8101
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Sunnyvale, CA
- NPI 1881141703
-
- Marriage & Family Therapist
- Fremont, CA
- NPI 1720528482
-
- Mental Health Counselor
- Sunnyvale, CA
- NPI 1669955712
-
- Marriage & Family Therapist
- Sunnyvale, CA
- NPI 1457630873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274313600000",
"number": "1649337338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 PARTRIDGE AVE",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940874952",
"telephone_number": "140-871-6810",
"fax_number": "408-736-5752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 PARTRIDGE AVE",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940874952",
"telephone_number": "408-716-8101",
"fax_number": "408-736-5752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHTHOUSE OF HOPE COUNSELING CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "YES",
"enumeration_date": "2007-01-02",
"last_updated": "2010-05-20",
"status": "A",
"authorized_official_last_name": "BAXTER",
"authorized_official_first_name": "GLORIA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "14087168101",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "CA",
"license": "14217",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIORAL HEALTH PROVIDE",
"identifier": "1649337338",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL SERVICE PROVIDER",
"identifier": "1649337338",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.