NPIMap

Organization Active NPI

Recovery Lighthouse

  • Community/Behavioral Health Agency
  • Warrensburg, MO
National Provider Identifier
1841430147
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2009000404 Issued in MO
Legal business name
RECOVERY LIGHTHOUSE
Practice address
107 E Culton St
Warrensburg, MO 64093-1823
Phone
(660) 429-2222
Fax
(660) 747-6903
NPI assigned
Feb 26, 2009
Last updated
Nov 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Authorized official

Name
Dr. Adriatik Likcani, LMFT, CRAADCNPI 1700195997
Title
Director
Phone
(660) 441-7447

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2009000404 MO Primary
Community/Behavioral Health Agency 251S00000X CASAC 2970 MO

Addresses

Primary practice location

107 E Culton St
Warrensburg, MO 64093-1823

Mailing address

107 E Culton St
Warrensburg, MO 64093-1823
Phone (660) 429-2222

National Provider Directory

National Provider Directory

Locations

107 E Culton St
Warrensburg, MO 64093
Phone (660) 429-2222

Practitioners & affiliated clinicians

Practitioners 2

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": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1841430147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E CULTON ST",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931823",
            "telephone_number": "660-429-2222",
            "fax_number": "660-747-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E CULTON ST",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931823",
            "telephone_number": "660-429-2222",
            "fax_number": "660-747-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY LIGHTHOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "LIKCANI",
        "authorized_official_first_name": "ADRIATIK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "660-441-7447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT, CRAADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "2009000404",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "CASAC 2970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.