NPIMap

Organization Active NPI

Lighthouse Neurofeedback & Behavior Analysis, Inc.

Doing business as Lighthouse Neurofeedback & Behavioral Health

  • Mental Health Counselor
  • Erie, CO
National Provider Identifier
1740029826
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIGHTHOUSE NEUROFEEDBACK & BEHAVIOR ANALYSIS, INC.
Doing business as
Lighthouse Neurofeedback & Behavioral Health
Practice address
216 Cheesman St
Ste a
Erie, CO 80516
Phone
(720) 449-6676
NPI assigned
May 20, 2024
Last updated
Jul 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Hui-Chung Jacquelina King
Title
Director of Operations
Phone
(720) 295-2291

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Group Psychotherapy Psychologist 103TP2701X
Behavior Technician 106S00000X

Addresses

Primary practice location

216 Cheesman St
Ste a
Erie, CO 80516

Mailing address

720 100 Yearparty CT Ste 200
Longmont, CO 80504-8591

Other practice location 1

720 100 Yearparty Ct Ste 200
Longmont, CO 80504-8591
Phone (720) 449-6676

Other practice location 2

1823 Sunset Pl Ste C
Longmont, CO 80501-6544
Phone (720) 449-6676

Other identifiers 1

IdentifierTypeStateIssuer
9000153728MedicaidCO

Other names 1

  • Lighthouse Neurofeedback & Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lighthouse Neuro Behavior5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1740029826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 100 YEARPARTY CT STE 200",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805048591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 CHEESMAN ST",
            "address_2": "STE A",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "80516",
            "telephone_number": "720-449-6676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 100 Yearparty Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805048591",
            "country_code": "US",
            "telephone_number": "720-449-6676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1823 Sunset Pl Ste C",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805016544",
            "country_code": "US",
            "telephone_number": "720-449-6676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIGHTHOUSE NEUROFEEDBACK & BEHAVIOR ANALYSIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "HUI-CHUNG",
        "authorized_official_middle_name": "JACQUELINA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "720-295-2291"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000153728",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Neurofeedback & Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erie, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.