| Lighthouse Behavioral Health Center, Llc | |
|
8310 Midlothian Tpke North Chesterfield VA 23235-5163 | |
| (804) 447-6382 | |
| (804) 447-6383 |
| Full Name | Lighthouse Behavioral Health Center, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8310 Midlothian Tpke, North Chesterfield, Virginia |
| Authorized Official Name and Position | Robyn Lowry Jennings (CEO) |
| Authorized Official Contact | 8044476382 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Behavioral Health Center, Llc 8310 Midlothian Tpke North Chesterfield VA 23235-5163 Ph: (804) 447-6382 | Lighthouse Behavioral Health Center, Llc 8310 Midlothian Tpke North Chesterfield VA 23235-5163 Ph: (804) 447-6382 |
| NPI Number | 1982952545 |
|---|---|
| Provider Enumeration Date | 08/29/2012 |
| Last Update Date | 11/11/2021 |
| Certification Date | 11/11/2021 |
| Medicare PECOS PAC ID | 5092021949 |
|---|---|
| Medicare Enrollment ID | O20150908003108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982952545 | NPI | - | NPPES |
| Provider Name | Jennifer P Herrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972167674 PECOS PAC ID: 4587626858 Enrollment ID: I20041028001134 |
| Provider Name | Katy A Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225529209 PECOS PAC ID: 5799033635 Enrollment ID: I20180808003051 |
| Provider Name | Heather Cryer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689227597 PECOS PAC ID: 4880926088 Enrollment ID: I20191021001743 |
| Provider Name | Sarah Elizabeth Matalavage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770091944 PECOS PAC ID: 1254760325 Enrollment ID: I20200413000339 |
| Provider Name | Kylie Strogiy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497383095 PECOS PAC ID: 1759702525 Enrollment ID: I20200603000582 |
| Provider Name | Ashley N Marks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326640715 PECOS PAC ID: 6103230578 Enrollment ID: I20210126001240 |
| Provider Name | Antoinette Peace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558948042 PECOS PAC ID: 4789083270 Enrollment ID: I20210603002090 |
| Provider Name | Sage Miska |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669126207 PECOS PAC ID: 4183019573 Enrollment ID: I20220322001485 |
| Provider Name | Julia Merk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679227235 PECOS PAC ID: 4981099389 Enrollment ID: I20220322002047 |
| Provider Name | Scott Caravas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326782558 PECOS PAC ID: 3779960729 Enrollment ID: I20220513001238 |
| Provider Name | Brittany Reuschling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902385727 PECOS PAC ID: 1658758339 Enrollment ID: I20220518002120 |
| Provider Name | Samuel Matthew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982343216 PECOS PAC ID: 5193106896 Enrollment ID: I20220712003995 |
| Provider Name | Lindsey Hershner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699203141 PECOS PAC ID: 3072971092 Enrollment ID: I20230623001935 |
| Provider Name | Lori Franco |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033577341 PECOS PAC ID: 1557710241 Enrollment ID: I20231206002608 |
| Provider Name | Laura Viles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841987237 PECOS PAC ID: 3870942071 Enrollment ID: I20231213002567 |
| Provider Name | Anna Ickes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053019901 PECOS PAC ID: 9537518675 Enrollment ID: I20231214000339 |
| Provider Name | Julia Willinger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063039246 PECOS PAC ID: 1850740994 Enrollment ID: I20231214000555 |
| Provider Name | Gabrielle Mormile |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679073894 PECOS PAC ID: 0244689396 Enrollment ID: I20231214000807 |
| Provider Name | Lauren Gibbs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568142784 PECOS PAC ID: 6204285364 Enrollment ID: I20231214001064 |
| Provider Name | Ashley Kulnis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336723980 PECOS PAC ID: 8123477288 Enrollment ID: I20231214001431 |
| Provider Name | Kevin Happeny |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578158994 PECOS PAC ID: 2567811649 Enrollment ID: I20231214002098 |
| Provider Name | Laura Chitty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396234423 PECOS PAC ID: 8921458316 Enrollment ID: I20231227002486 |
| Provider Name | Rachel Bonds |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619661907 PECOS PAC ID: 0042670705 Enrollment ID: I20240229003539 |
| Provider Name | Robyn Jennings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790054781 PECOS PAC ID: 9537475488 Enrollment ID: I20240315000051 |
| Provider Name | Aunetta B Gardner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184292971 PECOS PAC ID: 5294174090 Enrollment ID: I20240412001852 |
| Provider Name | Kassandra Kintzios |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225889470 PECOS PAC ID: 4587004114 Enrollment ID: I20240430003232 |
| Provider Name | Jeannette Mccain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952154957 PECOS PAC ID: 5890136642 Enrollment ID: I20240510003434 |
L.e.v.e.l.s, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5927 Belston Ct, North Chesterfield, VA 23234 Phone: 631-805-3257 | |
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Healing Sounds Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Southlake Blvd Ste B, North Chesterfield, VA 23236 Phone: 804-466-3130 Fax: 804-466-3130 | |
Felicity Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1901 Huguenot Rd Ste 312, North Chesterfield, VA 23235 Phone: 804-889-2384 | |
S & M Recovery Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7400 Beaufont Springs Dr Ste 300, North Chesterfield, VA 23225 Phone: 804-592-1225 | |
Balance Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9409 Hull Street Rd, Suite D1, North Chesterfield, VA 23236 Phone: 804-745-2225 Fax: 804-745-2242 | |
K. Antoinette Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1905 Huguenot Rd Ste 305, North Chesterfield, VA 23235 Phone: 240-723-2342 |