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LIGHTHOUSETHERAPY, LLC
NPI 1508593377
Clinic/Center - Mental Health (Including Community Mental Health Center) in Denver, CO

Active since August 02, 2022
1777 S HARRISON ST STE 401, DENVER, CO 80210(833) 749-3549(303) 376-4347 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 12, 2024, Sep 15, 2022, Aug 2, 2022 (3 updates tracked since 2022).

About Lighthousetherapy, Llc NPPES

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

LIGHTHOUSETHERAPY, LLC (NPI 1508593377) is a healthcare organization registered as a mental health (including community mental health center) in Denver, Colorado and active in the NPI registry since August 2022. The organization lists Evan Moore, Founder/owner, as its authorized official.

NPPES Registry Identity

NPI1508593377
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLIGHTHOUSETHERAPY, LLC
Location Address1777 S HARRISON ST STE 401Denver, CO 80210-3929
Mailing Address1777 S Harrison St Ste 1200Denver, CO 80210-3955 · (833) 749-3549 · Fax (303) 376-4347
Phone(833) 749-3549
Fax(303) 376-4347
Organization SubpartNo
Authorized OfficialEvan MooreFounder/owner · (833) 749-3549
Enumeration DateAugust 2, 2022
Last NPPES UpdateJanuary 14, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
✔ NPI 1508593377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedClinic/CenterTaxonomy 261Q00000X
1777 S HARRISON ST STE 401, Denver, CO 80210
Open in Google Maps ↗

Other Names 1

Doing Business AsLighthousetherapy, Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lighthousetherapy, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Evan Moore, LPCC
Mental Health Counselor
NPI 1336757509
1777 S HARRISON ST STE 401
Denver, CO 80210
(833) 749-3549
✔ PECOS✔ Accepts MedicareSame address

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 Lighthousetherapy, LLC's NPI number?

The NPI number for Lighthousetherapy, LLC is 1508593377. It was assigned to this organization in the NPPES registry on August 2, 2022.

Where is Lighthousetherapy, LLC located?

Lighthousetherapy, LLC is located at 1777 S Harrison St Ste 401, Denver, CO 80210. The listed phone number is (833) 749-3549.

What is Lighthousetherapy, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Lighthousetherapy, LLC enrolled in Medicare?

Yes. Lighthousetherapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lighthousetherapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Lighthousetherapy, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lighthousetherapy, LLC was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.