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LIGHTHOUSE PSYCHOLOGICAL SERVICES INC
NPI 1548428170
Community/Behavioral Health in Saint Paul, MN

Active since May 30, 2008
1551 PAYNE AVE, SAINT PAUL, MN 55130(763) 780-3077 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2021, Nov 26, 2019 (2 updates tracked since 2019).

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

NPI1548428170
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLIGHTHOUSE PSYCHOLOGICAL SERVICES INC
Location Address1551 PAYNE AVESaint Paul, MN 55130-3218
Mailing Address1314 81st Ave NeSpring Lake Park, MN 55432-2116
Phone(763) 780-3077
Organization SubpartNo
Authorized OfficialMolly Pavek OlsonCfo · (763) 780-3307
Enumeration DateMay 30, 2008
Last NPPES UpdateAugust 12, 20212 updates tracked since enumeration
NPPES CertifiedAugust 12, 2021
✔ NPI 1548428170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1551 PAYNE AVE, Saint Paul, MN 55130
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Secondary Practice Location 1

Location 15155 E River Rd Ste 401Fridley, MN 55421-3777 · Phone (763) 780-3307 · Fax (763) 780-3306

Other Providers at the Same Location NPPES 2

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

NICOLE RENE BISBEE MSW, LICSW
Social Worker (Clinical)
1551 PAYNE AVE
SAINT PAUL, MN 55130
Ramsey County (763) 780-3307
LIGHTHOUSE PSYCHOLOGICAL SERVICES, INC.
Community/Behavioral Health
1551 PAYNE AVE
SAINT PAUL, MN 55130
Ramsey County (763) 780-3077

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.

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.