I C Lightstone Counseling & Coaching Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

I C LIGHTSTONE COUNSELING & COACHING SERVICES LLC

Practice address

11949 Bricksome Ave Ste C
Baton Rouge, LA 70816-2595

Phone

(225) 443-2083

Fax

(225) 666-0444

NPI assigned

Mar 17, 2022

Organization subpart

No

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

Authorized official

Name

Charlotte GilmoreNPI 1497249825

Title

Owner

Phone

(225) 443-2083

Specialties & licenses 2

Addresses

Other names 1

• I. C. Lightstone Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

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

• Charlotte Gilmore, LPC,LAC

  • Mental Health Counselor
  • Baton Rouge, LA
  • NPI 1497249825

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1861140824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6142 TENNYSON DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708172937",
            "telephone_number": "504-275-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11949 BRICKSOME AVE STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162595",
            "telephone_number": "225-443-2083",
            "fax_number": "225-666-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6142 Tennyson Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708172937",
            "country_code": "US",
            "telephone_number": "504-275-9020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "I C LIGHTSTONE COUNSELING & COACHING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-443-2083"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I. C. Lightstone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.