Lighthouse Mentoring Center

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

LIGHTHOUSE MENTORING CENTER

Practice address

2213 Buchanan Rd # R107
Antioch, CA 94509-4265

Phone

(925) 529-4885

NPI assigned

Nov 6, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Phyllis Ritter, LMFT

Title

Clinical Director

Phone

(925) 628-1641

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jess Monae Faison

  • Marriage & Family Therapist
  • Antioch, CA
  • NPI 1003440546
  NPD
• Lavanta Green

  • Student in an Organized Health Care Education/Training Program
  • Pittsburg, CA
  • NPI 1164091740
  NPD

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1750104881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 BUCHANAN RD STE 107",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094265",
            "telephone_number": "925-628-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 BUCHANAN RD # R107",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094265",
            "telephone_number": "925-529-4885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 Buchanan Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945094265",
            "country_code": "US",
            "telephone_number": "925-628-1641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIGHTHOUSE MENTORING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "RITTER",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "925-628-1641",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Lewis
• Mona Latreece Lewis
• Sharon Ann Lewis, RRT
• Ling-Chih Liang, M.D.
• Lifes Choices L.L.C
• Alex Lim
• Christine Lim, M.D.
• Mary Elizabeth Lim, PHARMD
• Lincoln
• Lincoln

• All providers in Antioch, CA
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.