LIGHTHOUSE MENTAL HEALTH FAMILY THERAPY SERVICES
NPI 1669205357
Counselor - Mental Health in Vacaville, CA
About Lighthouse Mental Health Family Therapy Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIGHTHOUSE MENTAL HEALTH FAMILY THERAPY SERVICES (NPI 1669205357) is a healthcare organization registered as a mental health in Vacaville, California and active in the NPI registry since August 2024. The organization lists Loletta M Holloway, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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 Mental Health Family Therapy Services 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 Lighthouse Mental Health Family Therapy Services, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Mental Health Family Therapy Services's NPI number?
The NPI number for Lighthouse Mental Health Family Therapy Services is 1669205357. It was assigned to this organization in the NPPES registry on August 20, 2024.
Where is Lighthouse Mental Health Family Therapy Services located?
Lighthouse Mental Health Family Therapy Services is located at 190 S Orchard Ave Ste A110, Vacaville, CA 95688. The listed phone number is (707) 689-5553.
What is Lighthouse Mental Health Family Therapy Services's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Lighthouse Mental Health Family Therapy Services enrolled in Medicare?
Yes. Lighthouse Mental Health Family Therapy Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lighthouse Mental Health Family Therapy Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Lighthouse Mental Health Family Therapy Services. 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 Lighthouse Mental Health Family Therapy Services was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 Mental Health Family Therapy Services · NPI 1669205357
Mental Health organization in Vacaville, California. Organization record, active in the CMS NPPES registry since August 20, 2024.
## Identity
- **NPI:** 1669205357 (Entity type: Organization)
- **Enumerated:** August 20, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Loletta Holloway, OWNER
## Practice location
- **Address:** 190 S ORCHARD AVE STE A110, Vacaville, CA 95688-3649
- **Phone:** (707) 689-5553 · **Fax:** (707) 660-8206
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Marriage and Family Therapist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1669205357) · Data from the CMS NPPES public registry.