Lighthouse Wellness Centers

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIGHTHOUSE WELLNESS CENTERS

Practice address

5320 159TH St Ste 100
Oak Forest, IL 60452-3329

Phone

(708) 275-0934

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Michael Jenkins, M.A.NPI 1043378250

Title

President

Phone

(708) 275-0934

Specialties & licenses 3

Addresses

Locations

Practitioners 3

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

• Timothy Michael Jenkins, M.A.

  • Professional Counselor
  • Oak Forest, IL
  • NPI 1043378250
  NPD (past) Authorized official
• Monika Ciezobka, LCPC

  • Professional Counselor
  • Orland Park, IL
  • NPI 1104518182
  NPD (past)
• Kevin Lage, LCPC

  • Addiction (Substance Use Disorder) Counselor
  • East Hazel Crest, IL
  • NPI 1598128944
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1891815916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 159TH ST STE 100",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523329",
            "telephone_number": "708-275-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 159TH ST STE 100",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523329",
            "telephone_number": "708-275-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE WELLNESS CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-275-0934",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "IL",
            "license": "180-00003704",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Lynn Lange, DPM
• Harrison Leibow
• Mary Rene Leonhardt
• Philip James Levoy, D.D.S.
• Kristen E Licata, M.S., CCC-SLP/L
• Joanne Marie Linane, OTR/L
• Heather Lindenberg
• David Liu, PHARMD
• Mena Loka Sr.
• Lola'S Life Changes

• Mental Health Counselor in Oak Forest, IL
• Providers in Oak Forest, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.