LIGHTHOUSE PSYCHOLOGICAL SERVICES INC
NPI 1548428170
Community/Behavioral Health in Saint Paul, MN
About Lighthouse Psychological Services Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIGHTHOUSE PSYCHOLOGICAL SERVICES INC (NPI 1548428170) is a healthcare organization registered as a community/behavioral health in Saint Paul, Minnesota and active in the NPI registry since May 2008. The organization maintains a secondary practice location in Fridley and lists Molly Pavek Olson, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 Psychological Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Lighthouse Psychological Services Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (12)
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 Psychological Services Inc's NPI number?
The NPI number for Lighthouse Psychological Services Inc is 1548428170. It was assigned to this organization in the NPPES registry on May 30, 2008.
Where is Lighthouse Psychological Services Inc located?
Lighthouse Psychological Services Inc is located at 1551 Payne Ave, Saint Paul, MN 55130. The listed phone number is (763) 780-3077.
What is Lighthouse Psychological Services Inc's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Lighthouse Psychological Services Inc enrolled in Medicare?
Yes. Lighthouse Psychological Services Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lighthouse Psychological Services Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Lighthouse Psychological Services Inc. 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. The largest specialties are Marriage and Family Therapist (5), Mental Health Counselor (4) and Clinical Social Worker (3). 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 Psychological Services Inc was last updated on August 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Lighthouse Psychological Services Inc · NPI 1548428170
Community/Behavioral Health organization in Saint Paul, Minnesota. Organization record, active in the CMS NPPES registry since May 30, 2008.
## Identity
- **NPI:** 1548428170 (Entity type: Organization)
- **Enumerated:** May 30, 2008
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Molly Olson, CFO
## Practice location
- **Address:** 1551 PAYNE AVE, Saint Paul, MN 55130-3218
- **Phone:** (763) 780-3077
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Marriage and Family Therapist (5), Mental Health Counselor (4), Clinical Social Worker (3); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 12, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1548428170) · Data from the CMS NPPES public registry.