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LIGHTHOUSE RECOVERY LLC
NPI 1164242178
Nurse Practitioner - Psychiatric/Mental Health in Las Cruces, NM

Active since October 14, 2024
1990 E LOHMAN AVE STE 209, LAS CRUCES, NM 88001(575) 405-0220(888) 246-6904 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 9, 2025, Mar 19, 2025 (2 updates tracked since 2025).

About Lighthouse Recovery Llc NPPES

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

LIGHTHOUSE RECOVERY LLC (NPI 1164242178) is a healthcare organization registered as a psychiatric/mental health in Las Cruces, New Mexico and active in the NPI registry since October 2024. The organization maintains a secondary practice location in Las Cruces and lists Paige Allyse Barrera, Owner, as its authorized official.

NPPES Registry Identity

NPI1164242178
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLIGHTHOUSE RECOVERY LLC
Location Address1990 E LOHMAN AVE STE 209Las Cruces, NM 88001-3172
Mailing Address1990 E Lohman Ave Ste 209Las Cruces, NM 88001-3172 · (575) 405-0220 · Fax (888) 246-6904
Phone(575) 405-0220
Fax(888) 246-6904
Organization SubpartNo
Authorized OfficialPaige Allyse BarreraOwner · (915) 422-2066
Enumeration DateOctober 14, 2024
Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
✔ NPI 1164242178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
1990 E LOHMAN AVE STE 209, Las Cruces, NM 88001
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Secondary Practice Location 1

Location 11990 E Lohman Ave # V40Las Cruces, NM 88001-3172 · Phone (915) 422-2066

Other Identifiers 5

Other7L5355Medicare
MedicaidN0013364NM
MedicaidN0013372NM
Medicaid29079012NM
Other7L6017Individual Medicare Ptan

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 Recovery Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lighthouse Recovery LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jordan Rosenbluth, LCSW
Clinical Social Worker
NPI 1831593748
1990 E LOHMAN AVE STE 209
Las Cruces, NM 88001
(575) 405-0047
✔ PECOS✔ Accepts MedicareSame address
Paige Barrera, MSN, APRN, PMHNP-BC
Nurse Practitioner
NPI 1629842414
5065 MCNUTT RD
Santa Teresa, NM 88008
(575) 589-3000
✔ PECOS✔ Accepts Medicare33 mi

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 Recovery LLC's NPI number?

The NPI number for Lighthouse Recovery LLC is 1164242178. It was assigned to this organization in the NPPES registry on October 14, 2024.

Where is Lighthouse Recovery LLC located?

Lighthouse Recovery LLC is located at 1990 E Lohman Ave Ste 209, Las Cruces, NM 88001. The listed phone number is (575) 405-0220.

What is Lighthouse Recovery LLC's specialty?

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

Is Lighthouse Recovery LLC enrolled in Medicare?

Yes. Lighthouse Recovery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lighthouse Recovery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lighthouse Recovery LLC, in Clinical Social Worker and Nurse Practitioner. 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. Of these, 1 practice at this address. 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 Recovery LLC was last updated on July 9, 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.