Lighthouse Professional Counseling Center, LLC

Key facts

NPI

1659720332

Entity type

Organization (NPI type 2)

Primary specialty

Community/Behavioral Health Agency 251S00000X

License

180008697 (IL)

Legal business name

LIGHTHOUSE PROFESSIONAL COUNSELING CENTER, LLC

Practice address

2535 Bethany Rd
Ste 210
Sycamore, IL 60178-3126

Phone

(773) 656-2738

NPI assigned

Jun 3, 2016

Organization subpart

No

Authorized official

Name

Dr. Joel Marc Filmore, EDD, LCPC

Title

Clinical Director/Owner

Phone

(773) 656-2738

Practitioners 7

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

• David Barreto, LCPC Mental Health Counselor · Aurora, IL · NPI 1912455254
  NPD
• Veris Ellen Hawkins-Smith, LPC Professional Counselor · Sycamore, IL · NPI 1689229619
  NPD
• Jahaan Abdullah, LPC Professional Counselor · Sycamore, IL · NPI 1639628654
  NPD (past)
• Melissa Maria Lugo, PEL, LPC, NCC Mental Health Counselor · Sycamore, IL · NPI 1457807752
  NPD (past)
• Ananya Sri Ram Rajan, LPC, NCC Professional Counselor · Aurora, IL · NPI 1811531627
  NPD (past)
• Elisa Marie Woodruff, PHD, LCPC Professional Counselor · Dekalb, IL · NPI 1801349899
  NPD (past)
• Sandra Gene Gavin, LPC Professional Counselor · Alamosa, CO · NPI 1467928192
  NPD (past)

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 5, 2016.

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465084800000",
    "number": "1659720332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 BETHANY RD",
            "address_2": "STE 210",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783126",
            "telephone_number": "773-656-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 BETHANY RD",
            "address_2": "STE 210",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783126",
            "telephone_number": "773-656-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE PROFESSIONAL COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-05",
        "status": "A",
        "authorized_official_last_name": "FILMORE",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "773-656-2738",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180008697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Sycamore, IL · Community/Behavioral Health Agency in Illinois