LIGHTHOUSE BEHAVIORAL MEDICINE LLC (NPI# 1790175396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790175396 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE BEHAVIORAL MEDICINE LLC |
| Practice Address |
1601 Sw 89th St Suite E 200 Oklahoma City OK 73159-6349 |
| Mailing Address |
Po Box 25016 Oklahoma City OK 73125-0016 |
| Practice Telephone | 4057024435 |
| Practice Fax Number | 4057024437 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |
| Authorized Official Name | DONALD A GUTHRIE (PRESIDENT) |
| Authorized Official Telephone | 4057024435 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | OK | Agencies | |
| Y | 251S00000X | Community/Behavioral Health | OK | Agencies |
| Street Address |
1601 SW 89TH ST SUITE E 200 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73159-6349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063496446 | Paul A Heath | Dentist | 1601 Sw 89th St, Ste G500, Oklahoma City, OK 73159-6349 | 2005-11-30 |
| 1376984955 | Board of Regents of The University of Oklahoma-ou Physicians | Clinic/Center | 1601 Sw 89th St, Suite D300, Oklahoma City, OK 73159-6349 | 2013-07-11 |
| 1316113814 | Paul A Heath Dds, Inc | Dentist | 1601 Sw 89th St, Bldg G, Suite 500, Oklahoma City, OK 73159-6349 | 2008-05-05 |
| 1508043860 | Indira Singh Md, Inc | Specialist | 1601 Sw 89th St, Building D, Suite 200, Oklahoma City, OK 73159-6349 | 2008-01-29 |
| 1669521217 | Dennis J. Moran, Ph.d. PC | Psychologist | 1601 Sw 89th St, Suite B-100, Oklahoma City, OK 73159-6349 | 2007-01-10 |
| 1649334137 | Total Health Care Clinic PC | Neuromusculoskeletal Medicine & OMM | 1601 Sw 89th St, Suite 200, Oklahoma City, OK 73159-6349 | 2006-12-20 |
| 1013000975 | Betty N Bampoe | Chiropractor | 1601 Sw 89th St, Suite F200, Oklahoma City, OK 73159-6349 | 2006-10-02 |
| 1659311397 | Pamela Sue Danker | Psychologist | 1601 Sw 89th St, Suite B-100, Oklahoma City, OK 73159-6349 | 2006-06-08 |
| 1205875358 | Dennis John Moran | Psychologist | 1601 Sw 89th St, Suite B-100, Oklahoma City, OK 73159-6349 | 2006-06-05 |
| 1306894852 | Pablo Pinzon | Obstetrics & Gynecology | 1601 Sw 89th St, D100, Oklahoma City, OK 73159-6349 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849528 | Mel Vision LLC | Optometrist | 1413 W Interstate 240 Service Rd, Suite E, Oklahoma City, OK 73159 | 2020-10-20 |
| 1053959247 | Phillip J Elassal Dds Pllc | Clinic/Center | 1601 Sw 89th Street #g500, Oklahoma City, OK 73159 | 2019-12-18 |
| 1629573407 | Carrie Lynn Sanchez | Case Manager/Care Coordinator | 2604 Sw 92nd Street, Oklahoma City, OK 73159 | 2018-03-26 |
| 1407368038 | Deborah Dorton | Psychologist | Okc Va Hcs (111a), 921 Ne 13th St, Oklahoma City, OK 73159 | 2017-11-06 |
| 1366969933 | Matthew Lewis Hearne | Case Manager/Care Coordinator | 7504 S Country Club Dr, Apt 105, Oklahoma City, OK 73159 | 2017-08-24 |
| 1043766405 | Pro Hearing, LLC | Clinic/Center | 10404 S Pennsylvania Ave, Oklahoma City, OK 73159 | 2016-08-26 |
| 1952764169 | Doc LLC | Orthopaedic Surgery | 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 | 2016-04-04 |
| 1235511288 | Anusha Koneru | Dentist | 1610 W Interstate 240 Service Road, Oklahoma City, OK 73159 | 2015-06-26 |
| 1114347069 | Crystal A Dockery | Family Medicine | 3212 Sw 89th St Ste 100, Oklahoma City, OK 73159 | 2014-04-18 |
| 1790121440 | Kimberly Anne Dyer | Occupational Therapy Assistant | 5725 S Ross, Oklahoma City, OK 73159 | 2013-05-21 |
| Find all providers in zip 73159 | ||||
| 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 |
|---|---|---|---|---|
| 1669073623 | Keonte Criswell | Community/Behavioral Health | 11530 Andover Ct, Oklahoma City, OK 73130-8217 | 2020-11-05 |
| 1730798117 | Healing Minds Counseling LLC | Community/Behavioral Health | 5300 N Meridian Ave Ste 11, Oklahoma City, OK 73112-2179 | 2020-07-30 |
| 1679122287 | New Therapeutic Environment LLC | Community/Behavioral Health | 4301 Nw 63rd St Ste 307, Oklahoma City, OK 73116-1504 | 2019-09-06 |
| 1447808944 | Noahs Ark Aba and Autism Services | Community/Behavioral Health | 14413 S Robinson Ave, Oklahoma City, OK 73170-7233 | 2019-08-28 |
| 1477011195 | Perceptive Counseling Pllc | Community/Behavioral Health | Perceptive Counseling Pllc, 6900 N Classen Blvd, Oklahoma City, OK 73116-7210 | 2019-03-12 |
| 1225594542 | Life Solutions Counseling Agency LLC | Community/Behavioral Health | 6003 N Robinson Ave Ste 102, Oklahoma City, OK 73118-7425 | 2019-02-11 |
| 1083182299 | North Oklahoma County Mental Health Center | Community/Behavioral Health | 4021 S Walker Ave, Oklahoma City, OK 73109-6972 | 2018-11-06 |
| 1649754946 | Kidventures, LLC | Community/Behavioral Health | 1601 Sw 89th St Ste B100, Oklahoma City, OK 73159-6357 | 2018-09-21 |
| 1245710136 | Nexus Solutions for Autism of Oklahoma LLC | Community/Behavioral Health | 405 Nw 30th St, Oklahoma City, OK 73118-8606 | 2018-08-20 |
| 1255854725 | Mission Treatment Centers, Inc. | Community/Behavioral Health | 948 W Hefner Rd, Oklahoma City, OK 73114-6927 | 2017-07-17 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73159 |
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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.