Alice Marie Light, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

19735 Issued in FL

Practice address

1990 Main St Ste 750
Sarasota, FL 34236-8000

Phone

(941) 724-4784

NPI assigned

Oct 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Friend of a Friend Counseling Center, LLC

  • Mental Health Counselor
  • Sarasota, FL
  • NPI 1528741279
  NPD Authorized official

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718496000000",
    "number": "1881311256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1045",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380251045",
            "telephone_number": "941-724-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 MAIN ST STE 750",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342368000",
            "telephone_number": "941-724-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "ALICE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2024-06-16",
        "certification_date": "2024-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "19735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.light@friendofafriendcounseling.org",
            "affiliation": "N",
            "address_1": "PO Box 1045",
            "city": "Dyersburg",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380251045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Life X Medical Center Corp
• Lifecare Fusion Home Health LLC
• Lifecare Hospitals of Sarasota LLC
• Lifexl LLC
• Light of the World Eye Care, PLLC
• Lightshare Behavioral Wellness and Recovery
• Lightshare Behavioral Wellness and Recovery
• Lightshare Behavioral Wellness and Recovery
• Lightshare Behavioral Wellness and Recovery
• Lightshare Behavioral Wellness and Recovery

• Mental Health Counselor in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2024; 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.