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LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
NPI 1033265764
Clinic/Center - Mental Health (Including Community Mental Health Center) in Ada, OK

Active since January 26, 2007
301 W 4TH ST, ADA, OK 74820(580) 436-2690(580) 436-5539 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2020, May 13, 2020, Nov 4, 2019 (3 updates tracked since 2019).

About Lighthouse Behavioral Wellness Centers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS (NPI 1033265764) is a healthcare organization registered as a mental health (including community mental health center) in Ada, Oklahoma and active in the NPI registry since January 2007. The organization lists Deana Tharp, Deputy Executive Director, as its authorized official.

NPPES Registry Identity

NPI1033265764
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
Location Address301 W 4TH STAda, OK 74820-3411
Mailing AddressPo Box 189Ardmore, OK 73402-0189 · (580) 319-7305 · Fax (580) 319-7328
Phone(580) 436-2690
Fax(580) 436-5539
Organization SubpartNo
Authorized OfficialDeana TharpDeputy Executive Director · (580) 319-7305
Enumeration DateJanuary 26, 2007
Last NPPES UpdateMay 20, 20203 updates tracked since enumeration
NPPES CertifiedMay 20, 2020
✔ NPI 1033265764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
301 W 4TH ST, Ada, OK 74820
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Other Identifiers 1

Medicaid100728830 KOK

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARROLL DAVID HILL
Peer Specialist
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 257-2444
JUSTIN DOTY
Counselor (Mental Health)
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 257-2444
ASHLEY HYSTEN
Peer Specialist
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690
SARA MORGAN
Case Manager/Care Coordinator
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690
MARISSA BRADY
Counselor (Mental Health)
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 257-2444
GEORGE BURR II
Case Manager/Care Coordinator
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690
ASHLYN PETERSON
Case Manager/Care Coordinator
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690
ANGELA LEE
Case Manager/Care Coordinator
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lighthouse Behavioral Wellness Centers's NPI number?

The NPI number for Lighthouse Behavioral Wellness Centers is 1033265764. It was assigned to this organization in the NPPES registry on January 26, 2007.

Where is Lighthouse Behavioral Wellness Centers located?

Lighthouse Behavioral Wellness Centers is located at 301 W 4th St, Ada, OK 74820. The listed phone number is (580) 436-2690.

What is Lighthouse Behavioral Wellness Centers's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Lighthouse Behavioral Wellness Centers was last updated on May 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.