NPIMap

Organization Active NPI

Lighthouse Counseling Center LLC

  • Professional Counselor
  • Green Bay, WI
National Provider Identifier
1790543676
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LIGHTHOUSE COUNSELING CENTER LLC
Practice address
926 Willard Drive
Suite 136
Green Bay, WI 54304-5296
Phone
(920) 460-9301
Fax
(920) 659-5774
NPI assigned
Mar 6, 2024
Last updated
May 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Cassandra SchraftNPI 1164970935
Title
Clinic Owner/Clinical Director
Phone
(920) 460-9301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

926 Willard Drive
Suite 136
Green Bay, WI 54304-5296

Mailing address

926 Willard Drive
Suite 136
Green Bay, WI 54304-5296
Phone (920) 460-9301

National Provider Directory

National Provider Directory

Locations

926 Willard Dr
Ste 136
Green Bay, WI 54304
Phone (920) 460-9301

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1790543676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 WILLARD DRIVE",
            "address_2": "SUITE 136",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045296",
            "telephone_number": "920-460-9301",
            "fax_number": "920-659-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 WILLARD DRIVE",
            "address_2": "SUITE 136",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045296",
            "telephone_number": "920-460-9301",
            "fax_number": "920-659-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-03-02",
        "status": "A",
        "authorized_official_last_name": "SCHRAFT",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "CLINIC OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "920-460-9301"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

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