LIGHTHOUSE WELLNESS CENTERS (NPI# 1891815916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891815916 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE WELLNESS CENTERS |
| Practice Address |
5320 159th St Ste 100 Oak Forest IL 60452-3329 |
| Practice Telephone | 7082750934 |
| Mailing Telephone | 7082750934 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TIMOTHY MICHAEL JENKINS (PRESIDENT) |
| Authorized Official Telephone | 7082750934 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | 180-00003704 | IL | Behavioral Health & Social Service Providers |
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
IL | Behavioral Health & Social Service Providers | |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
IL | Behavioral Health & Social Service Providers |
| Street Address |
5320 159TH ST STE 100 |
| City | OAK FOREST |
| State | IL |
| Zip Code | 60452-3329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043378250 | Timothy Michael Jenkins | Counselor | 5320 159th St Ste 100, Oak Forest, IL 60452-3329 | 2006-12-04 |
| 1013238005 | Dawn Vance | Counselor | 5320 159th St Ste 100, Oak Forest, IL 60452-3329 | 2010-06-14 |
| 1902070097 | Ellen M Woodham-johnson | Social Worker | 5320 159th St Ste 100, Oak Forest, IL 60452-3329 | 2008-04-18 |
| 1538371166 | Ronald Shear IIi | Social Worker | 5320 159th St Ste 100, Oak Forest, IL 60452-3329 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831713098 | Oak Family Dental | Dentist | 6056 W. 159th Ave., Oak Forest, IL 60452 | 2020-06-03 |
| 1457982340 | Cook County | Family Medicine | 15900 S. Cicero, Oak Forest, IL 60452 | 2020-01-29 |
| 1265942718 | Suzanne Ankarlo | Speech-Language Pathologist | 3545 West Victoria Drive, Oak Forest, IL 60452 | 2017-10-10 |
| 1154855112 | True Laboratories LLC | Clinical Medical Laboratory | 5320 159th St Ste 505, Oak Forest, IL 60452 | 2017-04-17 |
| 1902347297 | Mena Loka Sr. | Physical Therapy Assistant | 6404 Nature Dr, Oak Forest, IL 60452 | 2017-03-20 |
| 1447797097 | Angelique Mayes-lamon | Clinic/Center | 15900 S Cicero Avenue, Building E, Oak Forest, IL 60452 | 2017-01-20 |
| 1265980759 | Surinder Sharma I | Pharmacist | 15900 So Cicero Ave, 15900 So Cicero Ave Bldg F, Oak Forest, IL 60452 | 2016-09-14 |
| 1326596800 | Gervaise Hunter-morris | Pharmacist | 15900 S. Cicero Avenue, Oak Forest, IL 60452 | 2016-09-14 |
| 1538519111 | Aunt Martha's Youth Service Center, Inc. | Clinic/Center | 15350 Oak Park Ave., Oak Forest, IL 60452 | 2016-06-15 |
| 1760836720 | Thh Acquisition LLC I | Durable Medical Equipment & Medical Supplies | 4149 166th St, Oak Forest, IL 60452 | 2016-04-15 |
| Find all providers in zip 60452 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225274426 | Uwin LLC | Counselor | 16405 Frontage Rd, Oak Forest, IL 60452-4611 | 2008-12-18 |
| 1316146533 | Better Day LLC | Counselor | 16601 Kilbourne Ave, Oak Forest, IL 60452-4621 | 2007-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922813 | Valerie Ann Taylor | Counselor | 1230 N Washington Ave, Batavia, IL 60510-1369 | 2020-11-07 |
| 1073114088 | Astrid Larsen | Counselor | 2317 Timberline Trl, Woodstock, IL 60098-8759 | 2020-11-05 |
| 1932708690 | Mucci World Management Inc,. | Counselor | 7913 171st St, Tinley Park, IL 60477-3244 | 2020-10-22 |
| 1679172373 | Alexander Czop | Counselor | 1250 Chestnut Ave, Wilmette, IL 60091-1616 | 2020-10-22 |
| 1427656859 | Mica Coleman | Counselor | 5800 Allemong Dr, Matteson, IL 60443-1108 | 2020-10-16 |
| 1386242873 | Kelly Mann | Counselor | 301 S Henry St, Ashkum, IL 60911-7119 | 2020-10-15 |
| 1245838549 | Erika Leigh Heatley | Counselor | 32w755 Albert Dr, East Dundee, IL 60118-3202 | 2020-10-09 |
| 1851999080 | Linda D Odaniel | Counselor | 12904 Division St Apt 2a, Blue Island, IL 60406-3420 | 2020-10-09 |
| 1366058075 | Allyssa Rose Bertram | Counselor | 4055 W Peterson Ave Ste 202, Chicago, IL 60646-6183 | 2020-09-17 |
| 1952914707 | Tara Ufer | Counselor | 400 W Deming Pl Apt 9g, Chicago, IL 60614-1702 | 2020-08-30 |
| Find all providers with the same taxonomy | ||||
| City | OAK FOREST |
| Zip Code | 60452 |
Please comment or provide details below to improve the information on LIGHTHOUSE WELLNESS CENTERS.
| 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.