NPIMap

Organization Active NPI

Lighthouse Therapeutic Services, LLC

  • Professional Counselor
  • Upper Marlboro, MD
National Provider Identifier
1831760719
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LIGHTHOUSE THERAPEUTIC SERVICES, LLC
Practice address
14201 Governor Lee PL
Upper Marlboro, MD 20772-5902
Phone
(202) 236-0727
NPI assigned
Jul 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Taz Barnes, LPC
Title
Licensed Professional Counselor
Phone
(202) 236-0727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

14201 Governor Lee PL
Upper Marlboro, MD 20772-5902

Mailing address

14201 Governor Lee PL
Upper Marlboro, MD 20772-5902
Phone (202) 236-0727

Other names 1

  • LIGHTHOUSE Other name

National Provider Directory

National Provider Directory
Tax ID family
Lighthouse Therapeutic Service6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1831760719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 GOVERNOR LEE PL",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725902",
            "telephone_number": "202-236-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 GOVERNOR LEE PL",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725902",
            "telephone_number": "202-236-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "TAZ",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "202-236-0727",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIGHTHOUSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.