THE LIGHTHOUSE MENTORING CENTER
NPI 1114805926
Community Based Residential Treatment Facility, Mental Illness in Antioch, CA

Active since August 21, 2025
5453 SHRIKE WAY, ANTIOCH, CA 94531(925) 350-0149(925) 350-0158 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About The Lighthouse Mentoring Center NPPES

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

THE LIGHTHOUSE MENTORING CENTER (NPI 1114805926), doing business as Lighthouse Mentoring Center 5, is a healthcare organization registered as a community based residential treatment facility, mental illness in Antioch, California and active in the NPI registry since August 2025. The organization lists Phyllis Ritter, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1114805926
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameTHE LIGHTHOUSE MENTORING CENTER
Location Address5453 SHRIKE WAYAntioch, CA 94531-7821
Mailing Address5453 Shrike WayAntioch, CA 94531-7821 · (925) 350-0149 · Fax (925) 350-0158
Fax(925) 350-0158
Organization SubpartYes
Authorized OfficialPhyllis RitterClinical Director · (925) 628-1641
Enumeration DateAugust 21, 2025
Last NPPES UpdateSeptember 18, 2025
NPPES CertifiedSeptember 18, 2025
NPI 1114805926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

5453 SHRIKE WAY, Antioch, CA 94531

Other Names 1

Doing Business AsLighthouse Mentoring Center 5

Other Providers at the Same Location NPPES

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

Marriage & Family Therapist
5453 SHRIKE WAY
ANTIOCH, CA 94531

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114805926, enumerated as an "organization" on August 21, 2025.

The provider is located at 5453 SHRIKE WAY ANTIOCH, CA 94531 and the phone number is (925) 350-0149.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.