Lighthouse Counseling and Mental Healht Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

I000000010821 Issued in TN

Legal business name

LIGHTHOUSE COUNSELING AND MENTAL HEALHT SERVICES

Practice address

310 Uptown SQ
Murfreesboro, TN 37129-0574

Phone

(615) 692-4935

Fax

(855) 261-6356

NPI assigned

Jul 19, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Percy W Ford Jr., LPC-MSHP,NCCNPI 1316075294

Title

Ceo/Owner

Phone

(615) 692-4935

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Percy Ford Jr., MC,LPC-MHSP,NCC

  • Professional Counselor
  • Murfreesboro, TN
  • NPI 1316075294
  NPD (past) Authorized official

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1922353408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5165 BROOKSTONE CT",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370135687",
            "telephone_number": "615-692-4935",
            "fax_number": "855-261-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 UPTOWN SQ",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290574",
            "telephone_number": "615-692-4935",
            "fax_number": "855-261-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE COUNSELING AND MENTAL HEALHT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "PERCY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "615-692-4935",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPC-MSHP,NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "I000000010821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528221",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hady T Lichaa, M.D.
• George Harrison Lien, MD
• Lifepoint Pharmacy
• Lori Liggin
• Joshua Light-Monasterio
• Lightup Healthcare Services LLC
• Halie Liles-Gregory
• Ivett Lillard, PHD
• Lauren Lim
• Robert T Lim Jr., MD

• Community/Behavioral Health Agency in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.