NPIMap

Organization Active NPI

Lighthouse Family Therapy Prof LLC

  • Occupational Therapist
  • Fort Collins, CO
National Provider Identifier
1891622833
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
LIGHTHOUSE FAMILY THERAPY PROF LLC
Practice address
1330 Oakridge Dr Unit 105
Fort Collins, CO 80525-9651
Phone
(970) 460-6762
Fax
(970) 680-7250
NPI assigned
May 5, 2026
Last updated
Jun 8, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
LIGHTHOUSE FAMILY THERAPY PROF LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Jennifer N Bergin, LPCNPI 1376804740
Title
Owner
Phone
(303) 929-6743

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Occupational Therapist 225X00000X Primary
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

1330 Oakridge Dr Unit 105
Fort Collins, CO 80525-9651

Mailing address

1785 Nightfall Dr
Windsor, CO 80550-3489
Phone (970) 460-6762

National Provider Directory

National Provider Directory
Tax ID family
Lighthouse Family Therapy Prof LLC3 organizations share this tax ID, including this one
Part of
Lighthouse Family Therapy Prof LLC

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1891622833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 NIGHTFALL DR",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805503489",
            "telephone_number": "970-460-6762",
            "fax_number": "970-680-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 OAKRIDGE DR UNIT 105",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259651",
            "telephone_number": "970-460-6762",
            "fax_number": "970-680-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE FAMILY THERAPY PROF LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIGHTHOUSE FAMILY THERAPY PROF LLC",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "BERGIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-929-6743",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.