NPIMap

Organization Active NPI

Lighthouse Therapeutic Services, LLC

Doing business as Lighthouse Therapeutic Service

  • Substance Abuse Rehabilitation Facility
  • Lanham, MD
National Provider Identifier
1891689022
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LIGHTHOUSE THERAPEUTIC SERVICES, LLC
Doing business as
Lighthouse Therapeutic Service
Lighthouse Therapeutic Services
Practice address
4200 Forbes Blvd Ste 103
Lanham, MD 20706-4390
Phone
(202) 236-0727
NPI assigned
Jun 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Taz Barnes
Title
Ceo
Phone
(202) 236-0727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4200 Forbes Blvd Ste 103
Lanham, MD 20706-4390

Mailing address

4200 Forbes Blvd Ste 103
Lanham, MD 20706-4390
Phone (202) 236-0727

Other names 2

  • Lighthouse Therapeutic Service Doing business as
  • Lighthouse Therapeutic Services Doing business as

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.

Locations

4200 Forbes Blvd
Ste 103
Lanham, MD 20706
Phone (202) 236-0727

NPI Registry JSON

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1891689022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 FORBES BLVD STE 103",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064390",
            "telephone_number": "202-236-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 FORBES BLVD STE 103",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064390",
            "telephone_number": "202-236-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "TAZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-236-0727"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Therapeutic Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lighthouse Therapeutic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.