1. Home
  2. Directory
  3. Florida
  4. St Augustine
  5. Counselor
  6. NPI Profile

LIGHTHOUSE WELLNESS GROUP
NPI 1114739604
Counselor - Mental Health in St Augustine, FL

Active since January 22, 2025
1301 PLANTATION ISLAND DR S STE 202A, ST AUGUSTINE, FL 32080(904) 318-8500 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lighthouse Wellness Group NPPES

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

LIGHTHOUSE WELLNESS GROUP (NPI 1114739604) is a healthcare organization registered as a mental health in St Augustine, Florida and active in the NPI registry since January 2025. The organization lists Cooper T Moore, Owner, as its authorized official.

NPPES Registry Identity

NPI1114739604
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameLIGHTHOUSE WELLNESS GROUP
Location Address1301 PLANTATION ISLAND DR S STE 202ASt Augustine, FL 32080-3111
Mailing Address1301 Plantation Island Dr S Ste 202aSt Augustine, FL 32080-3111 · (904) 318-8500
Phone(904) 318-8500
Organization SubpartNo
Authorized OfficialCooper T MooreOwner · (904) 318-8500
Enumeration DateJanuary 22, 2025
Last NPPES UpdateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
✔ NPI 1114739604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1301 PLANTATION ISLAND DR S STE 202A, St Augustine, FL 32080
Open in Google Maps ↗

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 5

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

CHRISTIANA GRIFFITH-KEITH LCSW
Social Worker (Clinical)
1301 PLANTATION ISLAND DR S STE 202A
ST AUGUSTINE, FL 32080
St. Johns County (386) 385-8105
ABIGAIL MURY LLC
Social Worker (Clinical)
1301 PLANTATION ISLAND DR S STE 202A
SAINT AUGUSTINE, FL 32080
St. Johns County (561) 903-4676
REBECCA H DOWNEY
Counselor (Mental Health)
1301 PLANTATION ISLAND DR S STE 202A
ST AUGUSTINE, FL 32080
St. Johns County (904) 896-6339
ABIGAIL LANFORD M.S.
Counselor (Mental Health)
1301 PLANTATION ISLAND DR S STE 202A
ST AUGUSTINE, FL 32080
St. Johns County (306) 287-1905
CHRISTOPHER C MERRITT LCSW
Social Worker (Clinical)
1301 PLANTATION ISLAND DR S STE 202A
SAINT AUGUSTINE, FL 32080
St. Johns County (561) 903-4676

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 Wellness Group's NPI number?

The NPI number for Lighthouse Wellness Group is 1114739604. It was assigned to this organization in the NPPES registry on January 22, 2025.

Where is Lighthouse Wellness Group located?

Lighthouse Wellness Group is located at 1301 Plantation Island Dr S Ste 202A, St Augustine, FL 32080. The listed phone number is (904) 318-8500.

What is Lighthouse Wellness Group's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lighthouse Wellness Group was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.