Organization Active NPI

Lighthouse Therapy LLC

  • Community/Behavioral Health Agency
  • Jasper, AL
National Provider Identifier
1801232798
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2349C Issued in AL
Legal business name
LIGHTHOUSE THERAPY LLC
Practice address
812 20TH Ave E
Jasper, AL 35501-4024
Phone
(205) 388-9216
NPI assigned
May 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Authorized official

Name
Brian Maloney, LCSWNPI 1558667022
Title
Therapist
Phone
(205) 310-5138

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
Community/Behavioral Health Agency 251S00000X 2349C AL Primary

Addresses

Primary practice location

812 20TH Ave E
Jasper, AL 35501-4024

Mailing address

812 20TH Ave E
Jasper, AL 35501-4024

National Provider Directory

National Provider Directory

Locations

812 20th Ave E
Jasper, AL 35501
Phone (205) 388-9216

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1801232798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 20TH AVE E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 20TH AVE E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014024",
            "telephone_number": "205-388-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "205-310-5138",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AL",
            "license": "2349C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.