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LIGHTHOUSE RECOVERY
NPI 1063373835
Preventive Medicine - Addiction Medicine in St Charles, IL

Active since November 20, 2025CLIA Certified · 2 labs
210 S 5TH ST STE 10, ST CHARLES, IL 60174(630) 677-5982 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2025, Nov 20, 2025 (2 updates tracked since 2025).

About Lighthouse Recovery NPPES

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

LIGHTHOUSE RECOVERY (NPI 1063373835) is a healthcare organization registered as an addiction medicine in St Charles, Illinois and active in the NPI registry since November 2025. The organization holds 2 active CLIA laboratory certificates and lists Martin Keifer, Owner, as its authorized official.

NPPES Registry Identity

NPI1063373835
Entity TypeOrganization
Primary Taxonomy2083A0300X
Legal Business NameLIGHTHOUSE RECOVERY
Location Address210 S 5TH ST STE 10St Charles, IL 60174-2700
Mailing Address210 S 5th St Ste 10St Charles, IL 60174-2700 · (630) 940-2468
Phone(630) 677-5982
Organization SubpartYes
Authorized OfficialMartin KeiferOwner · (630) 940-2468
Enumeration DateNovember 20, 2025
Last NPPES UpdateDecember 2, 20252 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1063373835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
210 S 5TH ST STE 10, St Charles, IL 60174
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2327246

Lighthouse Recover, Inc · St Charles, IL
Active · expires Jul 17, 2027
CLIA Number14D2327246
Laboratory TypePractitioner Other
Certificate Effective DateJuly 18, 2025
Certificate Expiration DateJuly 17, 2027
Laboratory DirectorNathan P. Lanthrum
Laboratory Phone(630) 940-2468
Laboratory LocationLighthouse Recover, Inc308 Walnut St, St Charles, IL 60174
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2130189

Lighthouse Recovery Inc · Saint Charles, IL
Active · expires May 2, 2027
CLIA Number14D2130189
Laboratory TypePractitioner Other
Certificate Effective DateMay 3, 2025
Certificate Expiration DateMay 2, 2027
Laboratory DirectorNathan P. Lanthrum
Laboratory Phone(630) 940-2468
Laboratory LocationLighthouse Recovery Inc210 S 5th St, Suite 10, Saint Charles, IL 60174
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

STEPHEN HOLTSFORD M.D.
Preventive Medicine (Addiction Medicine)
210 S 5TH ST STE 10
SAINT CHARLES, IL 60174
Kane County (630) 940-2468

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 Recovery's NPI number?

The NPI number for Lighthouse Recovery is 1063373835. It was assigned to this organization in the NPPES registry on November 20, 2025.

Where is Lighthouse Recovery located?

Lighthouse Recovery is located at 210 S 5th St Ste 10, St Charles, IL 60174. The listed phone number is (630) 677-5982.

What is Lighthouse Recovery's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Does Lighthouse Recovery hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Lighthouse Recovery was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.