Active NPI
Lighthouse Youth Services Inc. - Aod
- Community/Behavioral Health Agency
- Cincinnati, OH
National Provider Identifier
1831457506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LIGHTHOUSE YOUTH SERVICES INC. - AOD
- Practice address
- 401 E McMillan St
Cincinnati, OH 45206-1922 - Phone
- (513) 221-3350
- NPI assigned
- May 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thad Parker
- Title
- Vice Presdient Business Manager
- Phone
- (513) 487-7137
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
401 E McMillan St
Cincinnati, OH 45206-1922
Mailing address
401 E McMillan St
Cincinnati, OH 45206-1922
Phone (513) 221-3350
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10128 | Medicaid | OH | |
| 2847325 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Lighthouse Youth and Family Services
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Counselor
- Bainbridge, OH
- NPI 1053389841
-
- Addiction (Substance Use Disorder) Counselor
- Dayton, OH
- NPI 1063480846
-
- Mental Health Counselor
- Cincinnati, OH
- NPI 1083682850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743984000000",
"number": "1831457506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E MCMILLAN ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452061922",
"telephone_number": "513-221-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E MCMILLAN ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452061922",
"telephone_number": "513-221-3350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHTHOUSE YOUTH SERVICES INC. - AOD",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-01",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "THAD",
"authorized_official_title_or_position": "VICE PRESDIENT BUSINESS MANAGER",
"authorized_official_telephone_number": "513-487-7137",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10128",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2847325",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.