The Lighthouse Therapy Center LLC

Primary specialty

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

Legal business name

THE LIGHTHOUSE THERAPY CENTER LLC

Practice address

302 S 3Rd St
Greenville, IL 62246-1733

Phone

(618) 699-5099

Fax

(618) 493-4178

NPI assigned

Feb 28, 2023

Organization subpart

No

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

Authorized official

Name

Mikaella Mari Walker, LCPCNPI 1902043706

Title

Owner

Phone

(618) 292-7797

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mikaella Mari Walker, M.A., LCPC

  • Mental Health Counselor
  • Greenville, IL
  • NPI 1902043706
  NPD Authorized official

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1659070738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S 3RD ST",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461733",
            "telephone_number": "618-699-5099",
            "fax_number": "618-493-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S 3RD ST",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461733",
            "telephone_number": "618-699-5099",
            "fax_number": "618-493-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIGHTHOUSE THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MIKAELLA",
        "authorized_official_middle_name": "MARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-292-7797",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul M Steiner, OD
• Tammy Steiner, M.A.
• Adam Earl Stenger, M.D.
• Kayla Beth Taylor
• Zachary D Tebb, MD
• The Pain Relief Center of Greenville, P.C.
• Tawny Nicole Thomas, DNP, FNP-BC
• Jeanie Marie Thompson, MD PC
• Stephanie Marie Tripp, M.S., CCC-SLP
• Carleta Trout, B.S.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Greenville, IL
• Providers in Greenville, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.