NPIMap

Organization Active NPI

Lamplight Counseling Services LLC

  • Clinical Social Worker
  • Medina, OH
National Provider Identifier
1992108849
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I. 0800217-SUPV Issued in OH
Legal business name
LAMPLIGHT COUNSELING SERVICES LLC
Practice address
4015 Medina Rd Ste 90
Medina, OH 44256-5970
Phone
(330) 331-5800
Fax
(330) 331-5805
NPI assigned
Oct 7, 2014
Last updated
Apr 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Mrs. Bridget S Richard, LISW-SNPI 1851533673
Title
Owner
Phone
(303) 331-5800

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I. 0800217-SUPV OH Primary

Addresses

Primary practice location

4015 Medina Rd Ste 90
Medina, OH 44256-5970

Mailing address

PO Box 360823
Strongsville, OH 44136-0014
Phone (330) 331-5800

Other practice location 1

6133 Rockside Rd Ste 403
Independence, OH 44131-2244
Phone (216) 455-5571

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150827002510 OH Part B Supplier - Clinic/Group Practice 7113233750 Receives reassigned benefits from 8 practitioners
Practice locations: Independence, OH; Medina, OH

National Provider Directory

National Provider Directory

Locations

6133 Rockside Rd
Ste 403
Independence, OH 44131
Phone (216) 445-5571

323 S Court St
Ste 210
Medina, OH 44256
Phone (330) 331-5800

4015 Medina Rd
Ste 90
Medina, OH 44256
Phone (330) 331-5800

445 W Liberty St
Ste 225
Medina, OH 44256
Phone (330) 331-5800

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1992108849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360823",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441360014",
            "telephone_number": "330-331-5800",
            "fax_number": "330-331-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 MEDINA RD STE 90",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565970",
            "telephone_number": "330-331-5800",
            "fax_number": "330-331-5805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6133 Rockside Rd Ste 403",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "OH",
            "postal_code": "441312244",
            "country_code": "US",
            "telephone_number": "216-455-5571",
            "fax_number": "330-331-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAMPLIGHT COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-331-5800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I. 0800217-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.