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LIGHTHOUSE MENTORING CENTER 4
NPI 1386219954
Community Based Residential Treatment Facility, Mental Illness in Antioch, CA

Active since May 25, 2021
4343 BUCKSKIN DR, ANTIOCH, CA 94531(925) 706-7270(925) 706-7268 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2022, May 25, 2021 (2 updates tracked since 2021).

About Lighthouse Mentoring Center 4 NPPES

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

LIGHTHOUSE MENTORING CENTER 4 (NPI 1386219954) is a healthcare organization registered as a community based residential treatment facility, mental illness in Antioch, California and active in the NPI registry since May 2021. The organization lists Phyllis A Ritter, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1386219954
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameTHE LIGHTHOUSE MENTORING CENTER
Location Address4343 BUCKSKIN DRAntioch, CA 94531-7470
Mailing AddressPo Box 853Pittsburg, CA 94565-0085 · (925) 628-1641
Phone(925) 706-7270
Fax(925) 706-7268
Organization SubpartYes
Authorized OfficialPhyllis A RitterClinical Director · (922) 628-1641
Enumeration DateMay 25, 2021
Last NPPES UpdateJune 3, 20222 updates tracked since enumeration
NPPES CertifiedJune 3, 2022
✔ NPI 1386219954 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.
4343 BUCKSKIN DR, Antioch, CA 94531
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Other Names 1

Other NameLighthouse Mentoring Center 4

Other Providers at the Same Location NPPES

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

PHYLLIS A RITTER
Marriage & Family Therapist
4343 BUCKSKIN DR
ANTIOCH, CA 94531
Contra Costa County (925) 628-1641

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 The Lighthouse Mentoring Center's NPI number?

The NPI number for The Lighthouse Mentoring Center is 1386219954. It was assigned to this organization in the NPPES registry on May 25, 2021. The provider is also known as Lighthouse Mentoring Center 4.

Where is The Lighthouse Mentoring Center located?

The Lighthouse Mentoring Center is located at 4343 Buckskin Dr, Antioch, CA 94531. The listed phone number is (925) 706-7270.

What is The Lighthouse Mentoring Center's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for The Lighthouse Mentoring Center was last updated on June 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.