LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
NPI 1013542190
Psychiatry & Neurology - Addiction Psychiatry in Durant, OK
NPI Status: Active since March 09, 2020
Contact Information
2425 W UNIVERSITY BLVD
DURANT, OK
ZIP 74701
Phone: (580) 924-7331
Fax: (580) 924-7332
- Organization
- Psychiatry & Neurology
- Addiction Psychiatry
- Accepts Insurance
- CLIA Number: 37D2271538
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 11-02-2026
About LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
This page provides the complete NPI Profile along with additional information for Lighthouse Behavioral Wellness Centers, a provider established in Durant, Oklahoma operating as a Psychiatry & Neurology, focusing in addiction psychiatry . The healthcare provider is registered in the NPI registry with number 1013542190 assigned on March 2020. The practitioner's primary taxonomy code is 2084P0802X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Deana Tharp Lpc (Deputy Executive Directcor)
- NPI
- 1013542190
- Provider Name
- LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
- Entity Type
- Organization
- Location Address
- 2425 W UNIVERSITY BLVD DURANT, OK 74701
- Location Phone
- (580) 924-7331
- Location Fax
- (580) 924-7332
- Mailing Address
- 2425 W UNIVERSITY BLVD-STE 100 DURANT, OK 74701
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-09-2020
- Last Update Date
- 05-20-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Addiction Psychiatry
- Taxonomy Code
- 2084P0802X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? Standard - PPO
- MyBlue Bronze HMO? 902 - HMO
- MyBlue Bronze HMO? 904 - HMO
- MyBlue Bronze HMO? Standard - HMO
- MyBlue Gold HMO? 704 - HMO
- MyBlue Gold HMO? 804 - HMO
- MyBlue Gold HMO? Standard - HMO
- MyBlue Silver HMO? 705 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100728830 | MEDICAID (05) | OK |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 37D2271538
- Facility Type
- Community Clinic
- Certificate Effective Date
- November 03, 2024
- Certificate Expiration Date
- November 02, 2026
- Laboratory Director
- TUFAL KHAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lighthouse Behavioral Wellness Centers to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1013542190, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
DURANT, OK 74701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013542190, enumerated as an "organization" on March 09, 2020.
The provider is located at 2425 W UNIVERSITY BLVD DURANT, OK 74701 and the phone number is (580) 924-7331.
Psychiatry & Neurology with taxonomy code 2084P0802X and a focus in Addiction Psychiatry.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medicare. Please consult your insurance carrier or call the provider to verify.
