NPIMap

Organization Active NPI

Lighthouse Behavioral Wellness Centers

Doing business as Ada URC

  • Community/Behavioral Health Agency
  • Ada, OK
National Provider Identifier
1780347526
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
Practice address
301 W 4TH St
Ada, OK 74820-3411
Phone
(580) 257-2444
Fax
(580) 257-2445
NPI assigned
Oct 19, 2021
Last updated
Oct 19, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
LIGHTHOUSE BEHAVIORAL WELLNESS CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
Deana Tharp
Title
Deputy Executive Director
Phone
(580) 319-7305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

301 W 4TH St
Ada, OK 74820-3411

Mailing address

301 W 4TH St
Ada, OK 74820-3411
Phone (580) 257-2444

Other names 1

  • Ada URC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Services65 organizations share this tax ID, including this one
Part of
Mental Health Services

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1780347526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W 4TH ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203411",
            "telephone_number": "580-257-2444",
            "fax_number": "580-257-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W 4TH ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203411",
            "telephone_number": "580-257-2444",
            "fax_number": "580-257-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "THARP",
        "authorized_official_first_name": "DEANA",
        "authorized_official_title_or_position": "DEPUTY EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "580-319-7305"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ada URC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ada URC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.