| Lighthouse Behavioral Wellness Centers | |
|
2530 S. Commerce Building A Ardmore OK 73401-5519 | |
| (580) 223-5070 | |
| (580) 223-5617 |
| Full Name | Lighthouse Behavioral Wellness Centers |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2530 S. Commerce, Ardmore, Oklahoma |
| Authorized Official Name and Position | Deana Tharp (CHIEF CLINICAL COMPLIANCE OFFICER) |
| Authorized Official Contact | 5803197305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Behavioral Wellness Centers Po Box 189 Ardmore OK 73402-0189 Ph: (580) 223-5070 | Lighthouse Behavioral Wellness Centers 2530 S. Commerce Building A Ardmore OK 73401-5519 Ph: (580) 223-5070 |
| NPI Number | 1518997097 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 09/19/2022 |
| Certification Date | 09/19/2022 |
| Medicare PECOS PAC ID | 6406748961 |
|---|---|
| Medicare Enrollment ID | O20040329000653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518997097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Lawren A Merideth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356432637 PECOS PAC ID: 4981684321 Enrollment ID: I20040724000392 |
| Provider Name | Deborah K Brantly Hunt |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1639198542 PECOS PAC ID: 2961465505 Enrollment ID: I20041105000024 |
| Provider Name | David M Lovelace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326087800 PECOS PAC ID: 4385699008 Enrollment ID: I20050316000033 |
| Provider Name | Cynthia J Baugh |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1730123605 PECOS PAC ID: 2062434491 Enrollment ID: I20060322000667 |
| Provider Name | Cene L Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225070485 PECOS PAC ID: 1658377502 Enrollment ID: I20061017000065 |
| Provider Name | Martha W Hernandez |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1811031016 PECOS PAC ID: 5294871182 Enrollment ID: I20091007000072 |
| Provider Name | Sameer Mohammed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467591693 PECOS PAC ID: 8527165125 Enrollment ID: I20100805000664 |
| Provider Name | Stephen Irving Hutchins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073564597 PECOS PAC ID: 8123142296 Enrollment ID: I20100825001061 |
| Provider Name | Dustin O Hayes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184981144 PECOS PAC ID: 0244465516 Enrollment ID: I20131023001078 |
| Provider Name | Preethy T Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881023158 PECOS PAC ID: 1557594389 Enrollment ID: I20140502000094 |
| Provider Name | Kristen Bomboy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316983075 PECOS PAC ID: 1355568445 Enrollment ID: I20140813002456 |
| Provider Name | Donald J Curran |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1922056746 PECOS PAC ID: 2961315031 Enrollment ID: I20150515001570 |
| Provider Name | Jahannah Harper Jamelarin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538393137 PECOS PAC ID: 2567600026 Enrollment ID: I20151214002691 |
| Provider Name | Kelly M Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588113831 PECOS PAC ID: 4981989993 Enrollment ID: I20170314000068 |
| Provider Name | Tasha Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811205925 PECOS PAC ID: 8123258530 Enrollment ID: I20180906000303 |
| Provider Name | Karla A Davison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477747269 PECOS PAC ID: 4981940335 Enrollment ID: I20190107002321 |
| Provider Name | Kristin E Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982904322 PECOS PAC ID: 3870839996 Enrollment ID: I20190110002442 |
| Provider Name | Danielle Lacy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114377215 PECOS PAC ID: 1052650587 Enrollment ID: I20190228000725 |
| Provider Name | Cari Gravel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376061127 PECOS PAC ID: 3779908942 Enrollment ID: I20200805000533 |
| Provider Name | Tufal M Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033168596 PECOS PAC ID: 7416922299 Enrollment ID: I20220114000946 |
| Provider Name | Cayla D Meadows |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821467606 PECOS PAC ID: 0244626547 Enrollment ID: I20220414000715 |
| Provider Name | Courtney L Huddleston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073855672 PECOS PAC ID: 5597142869 Enrollment ID: I20220509000146 |
| Provider Name | Claire Ngwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578195657 PECOS PAC ID: 3971901869 Enrollment ID: I20220713003841 |
| Provider Name | Magdaline Epie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205468881 PECOS PAC ID: 3072995901 Enrollment ID: I20220809001191 |
| Provider Name | Lacii Sm Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235765934 PECOS PAC ID: 7214337963 Enrollment ID: I20220921001242 |
| Provider Name | Jennifer Ohrmundt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972108033 PECOS PAC ID: 6507220084 Enrollment ID: I20230918001419 |
| Provider Name | Teresa Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780237602 PECOS PAC ID: 8325402753 Enrollment ID: I20230918003007 |
| Provider Name | Jennifer Lynn Sanford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417522970 PECOS PAC ID: 1658729694 Enrollment ID: I20231130003092 |
| Provider Name | Kevin Anthony Bone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124350863 PECOS PAC ID: 4880043488 Enrollment ID: I20231207002995 |
| Provider Name | Shelby Dawn Howland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053969220 PECOS PAC ID: 7911356217 Enrollment ID: I20231212002875 |
| Provider Name | Delena J Sullivan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346831930 PECOS PAC ID: 1153770169 Enrollment ID: I20231214003579 |
| Provider Name | Brock Adam Carlile |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649570128 PECOS PAC ID: 5294184214 Enrollment ID: I20231215000203 |
| Provider Name | Marla Bronson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104296334 PECOS PAC ID: 5092165902 Enrollment ID: I20231219000393 |
| Provider Name | Ashlee Hale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891205035 PECOS PAC ID: 6103276852 Enrollment ID: I20231221002069 |
| Provider Name | Tammy Marie West |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477024453 PECOS PAC ID: 6709236375 Enrollment ID: I20231221003209 |
| Provider Name | Skylar Nicole Limpy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821547407 PECOS PAC ID: 0143670695 Enrollment ID: I20231222002773 |
| Provider Name | Jeanne De Paz Lay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487856126 PECOS PAC ID: 8820448285 Enrollment ID: I20231227001298 |
| Provider Name | Robert Newton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982034245 PECOS PAC ID: 4385094747 Enrollment ID: I20231227001656 |
| Provider Name | Kelie Steele |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477149169 PECOS PAC ID: 1254781446 Enrollment ID: I20240101000090 |
| Provider Name | Jennifer Lehr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891125704 PECOS PAC ID: 2365892569 Enrollment ID: I20240101000398 |
| Provider Name | Kendra Mathis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407211402 PECOS PAC ID: 9931559002 Enrollment ID: I20240102002442 |
| Provider Name | Jennifer Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346662772 PECOS PAC ID: 8527418524 Enrollment ID: I20240102003789 |
| Provider Name | Terri Thelen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609208719 PECOS PAC ID: 6901257930 Enrollment ID: I20240103004865 |
| Provider Name | Michele Marie Pierce |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942414495 PECOS PAC ID: 3779934757 Enrollment ID: I20240104001545 |
| Provider Name | Kristie D Mckee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417223983 PECOS PAC ID: 5698126522 Enrollment ID: I20240104003930 |
| Provider Name | Laura L Steele |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336435361 PECOS PAC ID: 7810348760 Enrollment ID: I20240104004562 |
| Provider Name | George Burr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174925804 PECOS PAC ID: 6204287048 Enrollment ID: I20240105003102 |
| Provider Name | Mylee Kena Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891702619 PECOS PAC ID: 9335590918 Enrollment ID: I20240108005157 |
| Provider Name | Heather Sheree Thornhill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750854360 PECOS PAC ID: 3072964691 Enrollment ID: I20240109000521 |
| Provider Name | Tiffany Deann Patterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750912010 PECOS PAC ID: 5698126092 Enrollment ID: I20240110002633 |
| Provider Name | Amy Hodges |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275840464 PECOS PAC ID: 8729430855 Enrollment ID: I20240114000204 |
| Provider Name | Dawna Kaye Dickson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952505976 PECOS PAC ID: 2769834696 Enrollment ID: I20240117000040 |
| Provider Name | Laura K Wise |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932577277 PECOS PAC ID: 9537511159 Enrollment ID: I20240119001130 |
| Provider Name | Nancy Wilder-pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457134694 PECOS PAC ID: 7214389642 Enrollment ID: I20240122000769 |
| Provider Name | Phyllis Jean Edwards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659381812 PECOS PAC ID: 8224480504 Enrollment ID: I20240123001426 |
| Provider Name | Morgan Canonici Powell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619171642 PECOS PAC ID: 5991158032 Enrollment ID: I20240125001342 |
| Provider Name | Johnny Duane Green |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831411263 PECOS PAC ID: 4880047927 Enrollment ID: I20240125001414 |
| Provider Name | Lori Dorcel Edwards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447452115 PECOS PAC ID: 4082067004 Enrollment ID: I20240125004427 |
| Provider Name | Rhonda R. Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295930311 PECOS PAC ID: 2062856180 Enrollment ID: I20240216002328 |
| Provider Name | Melissa Fritts Winkler |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1144551714 PECOS PAC ID: 0446601934 Enrollment ID: I20240315000921 |
| Provider Name | Sheri Medcalf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396515144 PECOS PAC ID: 4385082478 Enrollment ID: I20240409002605 |
| Provider Name | Courtney Dyane Toombs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023648607 PECOS PAC ID: 0648619213 Enrollment ID: I20240416000130 |
| Provider Name | Jarvis L. Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811237159 PECOS PAC ID: 8729428164 Enrollment ID: I20240501003565 |
| Provider Name | Christine Hamner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962631911 PECOS PAC ID: 3375984131 Enrollment ID: I20240510000188 |
The Dai Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 West Main, Suite 324, Ardmore, OK 73401 Phone: 580-226-9222 Fax: 580-226-9226 | |
Community Youth Services Of Southern Oklahoma, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Park St Se, Ardmore, OK 73401 Phone: 580-226-1838 Fax: 580-223-7856 | |
The Jetty Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 W Main St Ste 430, Ardmore, OK 73401 Phone: 580-224-2830 Fax: 405-665-6396 | |
Wrightway Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 N Commerce St Ste 634, Ardmore, OK 73401 Phone: 580-795-4844 Fax: 575-267-6243 | |
Felicia Hurst Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2007 N Commerce St Ste 212, Ardmore, OK 73401 Phone: 918-916-9896 | |
Tabor Therapeutics Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 15th Ave Nw, Ardmore, OK 73401 Phone: 580-798-5015 Fax: 580-798-5018 | |
Bloom Counseling, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3113 Woodside Dr, Ardmore, OK 73401 Phone: 580-222-7023 |