NPIMap

Organization Active NPI

Lighthouse Therapeutic Services, LLC

  • Adult Mental Health Clinic/Center
  • Lanham, MD
National Provider Identifier
1659264497
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LIGHTHOUSE THERAPEUTIC SERVICES, LLC
Doing business as
Lighthouse Therapeutic Services, LLC.
Practice address
4200 Forbes Blvd Ste 103
Lanham, MD 20706-4390
Phone
(202) 236-0727
NPI assigned
May 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Taz BarnesNPI 1841854098
Title
Ceo
Phone
(301) 781-7885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

4200 Forbes Blvd Ste 103
Lanham, MD 20706-4390

Mailing address

4200 Forbes Blvd Ste 103
Lanham, MD 20706-4390
Phone (202) 236-0727

Other names 1

  • Lighthouse Therapeutic Services, LLC. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lighthouse Therapeutic Service6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

4200 Forbes Blvd
Ste 103
Lanham, MD 20706
Phone (202) 236-0727

Practitioners & affiliated clinicians

Practitioners 1

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": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1659264497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 FORBES BLVD STE 103",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064390",
            "telephone_number": "202-236-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 FORBES BLVD STE 103",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064390",
            "telephone_number": "202-236-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "TAZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-781-7885"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Therapeutic Services, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.