LIGHTHOUSE PROFESSIONAL CLINICS INC (NPI# 1144651050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144651050 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE PROFESSIONAL CLINICS INC |
| Practice Address |
2024 Arkansas Valley Dr Ste 206 Little Rock AR 72212-4166 |
| Practice Telephone | 5012467171 |
| Practice Fax Number | 5012467171 |
| Mailing Telephone | 5012467171 |
| Mailing Fax Number | 5012467171 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2014-05-02 |
| Authorized Official Name | DR. MELISSA FAYE JACKSON (PRESIDENT) |
| Authorized Official Telephone | 2055651694 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 12-19P | AR | Agencies |
| Street Address |
2024 ARKANSAS VALLEY DR STE 206 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72212-4166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255339461 | Becky L. Porter | Psychologist | 2024 Arkansas Valley Dr, Suite 604, Little Rock, AR 72212-4166 | 2005-07-12 |
| 1942736285 | Bp Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 2024 Arkansas Valley Dr, Suite 202, Little Rock, AR 72212-4166 | 2017-05-05 |
| 1235513482 | Ashley Paige London | Speech-Language Pathologist | 2024 Arkansas Valley Dr, Suite 106, Little Rock, AR 72212-4166 | 2015-07-17 |
| 1578970125 | Krisi Gable | Speech-Language Pathologist | 2024 Arkansas Valley Dr, Suite 106, Little Rock, AR 72212-4166 | 2014-07-15 |
| 1801211388 | Mary Eve Jordan | Speech-Language Pathologist | 2024 Arkansas Valley Dr, Suite 106, Little Rock, AR 72212-4166 | 2014-02-20 |
| 1811310774 | Amber Mcadoo | Nurse Anesthetist, Certified Registered | 2024 Arkansas Valley Dr, Suite 202, Little Rock, AR 72212-4166 | 2014-01-29 |
| 1790122810 | Brian Philip Meier | Nurse Anesthetist, Certified Registered | 2024 Arkansas Valley Dr, #202, Little Rock, AR 72212-4166 | 2013-05-30 |
| 1083051312 | Laura Ann Ferguson | Nurse Anesthetist, Certified Registered | 2024 Arkansas Valley Dr, #202, Little Rock, AR 72212-4166 | 2013-05-28 |
| 1073727384 | Norma Jean Compton | Counselor | 2024 Arkansas Valley Dr, Suite 601, Little Rock, AR 72212-4166 | 2007-05-09 |
| 1619066982 | Melissa Faye Jackson | Psychologist | 2024 Arkansas Valley Dr, Ste 206, Little Rock, AR 72212-4166 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475805 | Arkansas Health Group | Dietitian, Registered | 10915 Rodney Parham Road, Suite G, Little Rock, AR 72212 | 2020-10-20 |
| 1043788045 | Arkansas Wellness Associates LLC | Internal Medicine | 10700 N Rodney Parham Road, Suite C11, Little Rock, AR 72212 | 2018-11-07 |
| 1538663729 | Premier Gastroenterology Associates Pllc | Internal Medicine | 10915 N. Rodney Parham, Suite B, Little Rock, AR 72212 | 2018-03-21 |
| 1942749148 | Reece Lewis Crow | General Practice | 34 Windsor Road, Little Rock, AR 72212 | 2017-02-21 |
| 1174910210 | Jourdan Quinn | Nurse Practitioner | 11300 Cantrell Rd Ste 204, Little Rock, AR 72212 | 2015-04-15 |
| 1174942528 | Jacey Tanner Guthrie | Dermatology | 4200 N Rodney Parham Rd Ste 202, Little Rock, AR 72212 | 2014-04-14 |
| 1366867525 | Rustee Danielle Pruitt | Counselor | 1719 Merrill Drive, Little Rock, AR 72212 | 2014-02-25 |
| 1932520558 | Diana Johnson Pearson | Speech-Language Pathologist | 3920 Woodland Heights Rd., Little Rock, AR 72212 | 2013-12-27 |
| 1275968786 | Bill F Hefley Sr. | Allergy & Immunology | 361 Valley Club Circle, Little Rock, AR 72212 | 2013-09-04 |
| 1376987693 | Robert Carlton Power | Internal Medicine | 8 Bella View Drive, Little Rock, AR 72212 | 2013-04-18 |
| Find all providers in zip 72212 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1972163434 | Baby Byrd, Pllc | Community/Behavioral Health | 10515 W Markham St Ste I2, Little Rock, AR 72205-2283 | 2019-06-17 |
| 1760982789 | Mumford and Associates, LLC | Community/Behavioral Health | 300 S Rodney Parham Rd Ste 1-270, Little Rock, AR 72205-4747 | 2018-02-16 |
| 1922534882 | Collaborative Counseling Associates, Pllc | Community/Behavioral Health | 11 Marble Ct, Little Rock, AR 72212-2116 | 2017-05-11 |
| 1356887343 | Andy | Community/Behavioral Health | 2301 Worship St, Suite 3, Little Rock, SC 29567-0092 | 2017-01-13 |
| 1649639113 | Arkansas Baptist Children's Homes | Community/Behavioral Health | 12400 Interstate 30 Ste 201, Little Rock, AR 72210-7032 | 2016-02-12 |
| 1457774762 | New Beginnings Behavioral Health | Community/Behavioral Health | 21 Meadowbrook Dr, Little Rock, AR 72205-4501 | 2014-01-23 |
| 1376894634 | Xcell Therapy Services | Community/Behavioral Health | 13701 Pleasant Forest Dr, Little Rock, AR 72212-2060 | 2012-09-27 |
| 1922323096 | New Beginnings Behavioral Health Services | Community/Behavioral Health | 1 Lile Court, Suite 200, Little Rock, AR 72205-6240 | 2010-04-01 |
| 1184860777 | Up and Up Day Treatment | Community/Behavioral Health | 3601 West Roosevelt Rd, Little Rock, AR 72204 | 2009-01-02 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72212 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.