LIGHT HOUSE BEHAVIORAL HEALTH AND WELLNESS CENTER INC. (NPI# 1134622426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134622426 |
| Entity Type | Organization |
| Organization Name | LIGHT HOUSE BEHAVIORAL HEALTH AND WELLNESS CENTER INC. |
| Practice Address |
1 Westinghouse Plaza A-216 Boston MA 02136 |
| Mailing Address |
21 Kingsbrook Way North Easton MA 02356-2545 |
| Practice Telephone | 6178397392 |
| Mailing Telephone | 6178397392 |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MS. SHIRLEY JANVIER (CEO, OPERATION MANAGER) |
| Authorized Official Telephone | 6178397392 |
| Authorized Official Credential | M.ED, MHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MA | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21 Kingsbrook Way, North Easton, MA 023562545 | 6178397392 |
| Street Address |
1 WESTINGHOUSE PLAZA A-216 |
| City | BOSTON |
| State | MA |
| Zip Code | 02136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952892564 | Dionne Latrice | Counselor | 695 Truman Pwky, Boston, MA 02136 | 2018-05-21 |
| 1396168795 | Living Well | Home Health | 53 Oak St, Hyde Park, MA 02136 | 2014-01-22 |
| 1891051074 | Marie Ronique Yilain | Licensed Practical Nurse | 59 Cromwell Rd, Hyde Park, MA 02136 | 2012-04-02 |
| 1033410543 | Stephanie Sabrina Seigle | Counselor | 5 Linden Ave, Hyde Park, MA 02136 | 2010-11-15 |
| 1699075747 | Jeffrey Meisner | Physical Therapist | 188 Providence Street, Boston Pain Clinic, Hyde Park, MA 02136 | 2010-10-22 |
| 1356593743 | Supplemantal Health Care Services | Residential Treatment Facility, Physical Disabilities | 731 Truman Hwy, Hyde Park, MA 02136 | 2008-10-16 |
| 1407023047 | Amy Elizabeth Delaney | Nurse Practitioner | 695 Truman Parkway, Suite 203, Hyde Park Pediatrics, Hyde Park, MA 02136 | 2008-05-13 |
| 1629254263 | Alla Urman | Nurse Practitioner | 1274 Hyde Park Ave, Hyde Park, MA 02136 | 2008-01-14 |
| 1912106980 | Marina Williams | Counselor | 1158 Hyde Park Ave, Hyde Park, MA 02136 | 2007-07-11 |
| 1184837999 | Nigel O'neal Best | Physical Therapy Assistant | 84 Tacoma St, Hyde Park, MA 02136 | 2007-05-08 |
| Find all providers in zip 02136 | ||||
| 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 |
|---|---|---|---|---|
| 1619587490 | Maat Therapeutic Solutions Inc. | Community/Behavioral Health | 1773 Dorchester Ave Ste 3, Boston, MA 02124-2556 | 2020-08-05 |
| 1679104194 | Breann Lyn Mcgee | Community/Behavioral Health | 8 Langdon St Apt 3, Boston, MA 02119-2865 | 2020-02-03 |
| 1700355823 | Sandra Robertson Muhammad | Community/Behavioral Health | 1773 Dorchester Ave # Ma, Boston, MA 02124-2556 | 2018-11-19 |
| 1992282255 | Kary Daviela Suazo | Community/Behavioral Health | 50 Lamartine Street Ext Apt 264, Boston, MA 02130-1636 | 2018-07-19 |
| 1477050185 | Icontrolmyhealth, Inc. | Community/Behavioral Health | 530 Atlantic Ave Apt 512, Boston, MA 02210-2237 | 2018-04-09 |
| 1063936078 | New Directions Counseling Service LLC | Community/Behavioral Health | 24 Union Wharf, Boston, MA 02109-1202 | 2017-08-01 |
| 1477002590 | Commonwealth of Massachusetts - Executive Office of Elder Affairs | Community/Behavioral Health | 1 Ashburton Pl Fl 5, Boston, MA 02108-1518 | 2016-09-30 |
| 1285023655 | Justice Resource Institute | Community/Behavioral Health | 3 Pickering Avenue # 1, Boston, MA 02119-2225 | 2015-01-22 |
| 1528494259 | Children Services of Roxbury | Community/Behavioral Health | 375 Columbus Ave, 103, Boston, MA 02116-6043 | 2013-09-26 |
| 1144572165 | Boston Rescue Mission, Inc. | Community/Behavioral Health | 39 Kingston St, Boston, MA 02111-2208 | 2012-10-15 |
| Find all providers in BOSTON | ||||
Please comment or provide details below to improve the information on LIGHT HOUSE BEHAVIORAL HEALTH AND WELLNESS CENTER INC..
| 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.