The Lighthouse, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC160400 Issued in OH

Legal business name

THE LIGHTHOUSE, INC.

Practice address

323 N Broad St
Lower Level
Lancaster, OH 43130-3004

Phone

(740) 687-4423

Fax

(740) 687-1048

NPI assigned

Mar 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Suzanne Pelletier-Walker, MSW, LISW

Title

Executive Director

Phone

(704) 689-2558

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699743740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431300215",
            "telephone_number": "740-689-2558",
            "fax_number": "740-689-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N BROAD ST",
            "address_2": "LOWER LEVEL",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303004",
            "telephone_number": "740-687-4423",
            "fax_number": "740-687-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIGHTHOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PELLETIER-WALKER",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-689-2558",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LISW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "MC160400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MC 160400",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen M. Thatcher, PA-C
• The Creed of Recovery, LLC
• The Kroger Co (Kroger Pharmacy)
• The Kroger Co (Kroger Pharmacy)
• The Kroger Co (Kroger Pharmacy)
• The Recovery Center
• The Recovery Center
• The Salvation Army (The Samaritan Center for Adult Care)
• The Tamarkin Company (Giant Eagle Pharmacy #6538)
• Jacy Christena Theiss, PHARMD

• Mental Health Counselor in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.