NPIMap

Organization Active NPI

Lighthouse Clinic LTD

Doing business as LHC Aquisitions, LLC

  • Psychologist
  • Milwaukee, WI
National Provider Identifier
1912216219
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
LIGHTHOUSE CLINIC LTD
Doing business as
LHC Aquisitions, LLC
Practice address
2524 E Webster PL Ste 203
Milwaukee, WI 53211-4257
Phone
(414) 964-9200
Fax
(414) 964-4816
NPI assigned
Oct 4, 2010
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Paula Tudorof
Title
Administrator
Phone
(323) 447-9507

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU
Clinical Neuropsychologist 103G00000X NU
Psychologist 103T00000X NU Primary
Clinical Social Worker 1041C0700X NU
Registered Dietitian 133V00000X NU
Psychiatry Physician 2084P0800X NU
Child & Adolescent Psychiatry Physician 2084P0804X NU

Addresses

Primary practice location

2524 E Webster PL Ste 203
Milwaukee, WI 53211-4257

Mailing address

2524 E Webster PL Ste 203
Milwaukee, WI 53211-4257
Phone (414) 964-9200

Other names 1

  • LHC Aquisitions, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110309000822 WI Part B Supplier - Clinic/Group Practice 4385826502 Receives reassigned benefits from 21 practitioners
Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory

Locations

11520 N Port Washington Rd
Mequon, WI 53092
Phone (414) 964-9200

2524 E Webster Pl
Ste 203
Milwaukee, WI 53211
Phone (414) 964-9200

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1912216219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 E WEBSTER PL STE 203",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114257",
            "telephone_number": "414-964-9200",
            "fax_number": "414-964-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 E WEBSTER PL STE 203",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114257",
            "telephone_number": "414-964-9200",
            "fax_number": "414-964-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "TUDOROF",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-447-9507"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LHC Aquisitions, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.