LIGHT AT THE END PLLC
NPI 1114690401
Nurse Practitioner - Psychiatric/Mental Health in Queen Creek, AZ

Active since August 01, 2021
21168 E OCOTILLO RD # 1045, QUEEN CREEK, AZ 85142(623) 265-6220(866) 491-7389 Get Directions Write a Review

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

Record update history: Jan 2, 2026, Aug 13, 2024, Aug 24, 2021 (3 updates tracked since 2021).

About Light At The End Pllc NPPES

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

LIGHT AT THE END PLLC (NPI 1114690401), doing business as Light At The End Behavioral Health Services, is a healthcare organization registered as a psychiatric/mental health in Queen Creek, Arizona and active in the NPI registry since August 2021. The organization lists Shavaun J Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114690401
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLIGHT AT THE END PLLC
Location Address21168 E OCOTILLO RD # 1045Queen Creek, AZ 85142-8175
Mailing Address21168 E Ocotillo Rd # 1045Queen Creek, AZ 85142-8175 · (623) 265-6220 · Fax (866) 491-7389
Fax(866) 491-7389
Organization SubpartNo
Authorized OfficialShavaun J JohnsonCeo · (623) 265-6220
Enumeration DateAugust 1, 2021
Last NPPES UpdateJanuary 2, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2026
NPI 1114690401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
21168 E OCOTILLO RD # 1045, Queen Creek, AZ 85142

Other Names 1

Doing Business AsLight At The End Behavioral Health Services

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
21168 E OCOTILLO RD # 1045
QUEEN CREEK, AZ 85142

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 Light At The End PLLC's NPI number?

The NPI number for Light At The End PLLC is 1114690401. It was assigned to this organization in the NPPES registry on August 1, 2021. The provider is doing business as Light at the End Behavioral Health Services.

Where is Light At The End PLLC located?

Light At The End PLLC is located at 21168 E Ocotillo Rd # 1045, Queen Creek, AZ 85142. The listed phone number is (623) 265-6220.

What is Light At The End PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Light At The End PLLC was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.