Organization Active NPI

Lighthouse Early Learning Center, Inc

  • Professional Counselor
  • Columbia, IL
National Provider Identifier
1740657048
Registry record updated Aug 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180001167 Issued in IL
Legal business name
LIGHTHOUSE EARLY LEARNING CENTER, INC
Practice address
9273 Coach Stop Rd
Columbia, IL 62236-3429
Phone
(618) 910-1397
NPI assigned
Aug 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2015

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

Authorized official

Name
Amy Hemenway, LCPC
Title
LCPC
Phone
(618) 910-1397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 180001167 IL Primary

Addresses

Primary practice location

9273 Coach Stop Rd
Columbia, IL 62236-3429

Mailing address

9273 Coach Stop Rd
Columbia, IL 62236-3429
Phone (618) 910-1397

Other names 1

  • Cliff Communications Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440201600000",
    "number": "1740657048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9273 COACH STOP RD",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622363429",
            "telephone_number": "618-910-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9273 COACH STOP RD",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622363429",
            "telephone_number": "618-910-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE EARLY LEARNING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-22",
        "last_updated": "2015-08-22",
        "status": "A",
        "authorized_official_last_name": "HEMENWAY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "LCPC",
        "authorized_official_telephone_number": "618-910-1397",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180001167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cliff Communications",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2015; 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.