| Lighthouse Behavioral Health Solutions, Llc | |
|
4000 E Main St Columbus OH 43213-2950 | |
| (614) 334-6903 | |
| Not Available |
| Full Name | Lighthouse Behavioral Health Solutions, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4000 E Main St, Columbus, Ohio |
| Authorized Official Name and Position | Lili C Reitz (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 6143346903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Behavioral Health Solutions, Llc 4214 E Main St Columbus OH 43213-3028 Ph: (614) 334-6903 | Lighthouse Behavioral Health Solutions, Llc 4000 E Main St Columbus OH 43213-2950 Ph: (614) 334-6903 |
| NPI Number | 1629560230 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 01/07/2022 |
| Certification Date | 01/07/2022 |
| Medicare PECOS PAC ID | 4486089893 |
|---|---|
| Medicare Enrollment ID | O20200113001896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629560230 | NPI | - | NPPES |
| Provider Name | Christina Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104801661 PECOS PAC ID: 5395739734 Enrollment ID: I20040409000226 |
| Provider Name | Robert W Ahern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013980408 PECOS PAC ID: 1850319872 Enrollment ID: I20051108001119 |
| Provider Name | Leslie Ann Burgie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902870405 PECOS PAC ID: 3375553795 Enrollment ID: I20060501000314 |
| Provider Name | Kevin V Ware |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609817980 PECOS PAC ID: 4385734045 Enrollment ID: I20071218000391 |
| Provider Name | Robyn M Aurnou |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932400074 PECOS PAC ID: 7214119452 Enrollment ID: I20110310000024 |
| Provider Name | Kristina Wills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326382292 PECOS PAC ID: 7113240243 Enrollment ID: I20141222002190 |
| Provider Name | Maria R Schreck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689917098 PECOS PAC ID: 8325289754 Enrollment ID: I20161109001534 |
| Provider Name | Joseph Patrick Dunlevy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790194074 PECOS PAC ID: 8022386812 Enrollment ID: I20170620001938 |
| Provider Name | Jamie Declercq |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366734279 PECOS PAC ID: 6103183678 Enrollment ID: I20171208001461 |
| Provider Name | Dionne Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518475813 PECOS PAC ID: 5193087286 Enrollment ID: I20180330000665 |
| Provider Name | Joshua B Gill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548612286 PECOS PAC ID: 0749544971 Enrollment ID: I20180515002872 |
| Provider Name | John M Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740847946 PECOS PAC ID: 7416288998 Enrollment ID: I20191015000834 |
| Provider Name | Michelle Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467806240 PECOS PAC ID: 8123453032 Enrollment ID: I20200123001669 |
| Provider Name | Andrew Mossman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053761890 PECOS PAC ID: 8729373576 Enrollment ID: I20200321000315 |
| Provider Name | Claire Olivia Herbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356836563 PECOS PAC ID: 5395164412 Enrollment ID: I20200923001269 |
| Provider Name | Belinda Sue Niece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760087647 PECOS PAC ID: 7911316500 Enrollment ID: I20210512000375 |
| Provider Name | Holly Metzger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255565628 PECOS PAC ID: 2567858400 Enrollment ID: I20220401001616 |
| Provider Name | Tiffany Fannin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609305226 PECOS PAC ID: 4880081009 Enrollment ID: I20220418001842 |
| Provider Name | Theresa Beasley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740839927 PECOS PAC ID: 8527455138 Enrollment ID: I20220429001366 |
| Provider Name | Moffou Tchoula |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003450511 PECOS PAC ID: 7618359373 Enrollment ID: I20220728001060 |
| Provider Name | Janie Marie Calhoun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356770663 PECOS PAC ID: 2466825286 Enrollment ID: I20230227000768 |
| Provider Name | Jenifer Eilers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699497529 PECOS PAC ID: 5395103519 Enrollment ID: I20230621001001 |
| Provider Name | Deven Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487329728 PECOS PAC ID: 9335500693 Enrollment ID: I20230802003015 |
| Provider Name | Hunter Danielle Spittler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932793981 PECOS PAC ID: 8426402827 Enrollment ID: I20231003001742 |
| Provider Name | Victoria Balcar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871095083 PECOS PAC ID: 6507216520 Enrollment ID: I20240103000485 |
| Provider Name | Elaine A Kiene |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881858413 PECOS PAC ID: 6002971249 Enrollment ID: I20240108004134 |
| Provider Name | Alisha Rinehart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568723286 PECOS PAC ID: 1951752526 Enrollment ID: I20240108004807 |
| Provider Name | Kim Penfound |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952761629 PECOS PAC ID: 7416308978 Enrollment ID: I20240109002171 |
| Provider Name | Erin Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689138802 PECOS PAC ID: 7214388537 Enrollment ID: I20240110003854 |
| Provider Name | Jennifer Marie Potts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679096184 PECOS PAC ID: 0648621888 Enrollment ID: I20240111003247 |
| Provider Name | Laura Brook Sites |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962954693 PECOS PAC ID: 5890146971 Enrollment ID: I20240112003659 |
| Provider Name | Courtney Derrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194332676 PECOS PAC ID: 1254783582 Enrollment ID: I20240122004539 |
| Provider Name | Marchelle Denise Posey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568974491 PECOS PAC ID: 4183077647 Enrollment ID: I20240131003150 |
| Provider Name | Madeline Slack |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457860850 PECOS PAC ID: 5193178572 Enrollment ID: I20240201002475 |
| Provider Name | Megan Perry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801539655 PECOS PAC ID: 4587017892 Enrollment ID: I20240201003971 |
| Provider Name | Michele Sparks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689057812 PECOS PAC ID: 7113360355 Enrollment ID: I20240205003423 |
| Provider Name | Edward J O'reilly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578012373 PECOS PAC ID: 8527500024 Enrollment ID: I20240612002098 |
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