LIGHTHOUSE BEACON, PLLC
NPI 1073495024
Clinic/Center - Adult Mental Health in Oswego, IL
About Lighthouse Beacon, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIGHTHOUSE BEACON, PLLC (NPI 1073495024) is a healthcare organization registered as an adult mental health in Oswego, Illinois and active in the NPI registry since July 2025. The organization lists Mary Marie Ihnenfeld, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lighthouse Beacon, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lighthouse Beacon, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Beacon, PLLC's NPI number?
The NPI number for Lighthouse Beacon, PLLC is 1073495024. It was assigned to this organization in the NPPES registry on July 22, 2025. The provider is also known as Ihnenfeld.
Where is Lighthouse Beacon, PLLC located?
Lighthouse Beacon, PLLC is located at 2681 Us Highway 34, Oswego, IL 60543. The listed phone number is (779) 706-1095.
What is Lighthouse Beacon, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Lighthouse Beacon, PLLC enrolled in Medicare?
Yes. Lighthouse Beacon, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lighthouse Beacon, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Lighthouse Beacon, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lighthouse Beacon, PLLC was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Lighthouse Beacon, Pllc · NPI 1073495024
Adult Mental Health organization in Oswego, Illinois. Organization record, active in the CMS NPPES registry since July 22, 2025.
## Identity
- **NPI:** 1073495024 (Entity type: Organization)
- **Enumerated:** July 22, 2025
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Also known as:** Ihnenfeld (Other Name)
- **Organization subpart:** No
- **Authorized official:** Mary Ihnenfeld, OWNER
## Practice location
- **Address:** 2681 US HIGHWAY 34, Oswego, IL 60543-8577
- **Phone:** (779) 706-1095
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073495024) · Data from the CMS NPPES public registry.