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LIGHTHOUSE CHILD & FAMILY SERVICES
NPI 1689861197
Community/Behavioral Health in Foley, MN

Active since September 28, 2007
17641 55TH ST NE, FOLEY, MN 56329(320) 237-6252 Get Directions Write a Review

NPPES record last updated: September 28, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lighthouse Child & Family Services NPPES

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

LIGHTHOUSE CHILD & FAMILY SERVICES (NPI 1689861197) is a healthcare organization registered as a community/behavioral health in Foley, Minnesota and active in the NPI registry since September 2007. The organization lists Julie Ann Nybakke-hanenburg, Owner, as its authorized official.

NPPES Registry Identity

NPI1689861197
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLIGHTHOUSE CHILD & FAMILY SERVICES
Location Address17641 55TH ST NEFoley, MN 56329-9761
Mailing Address17641 55th St NeFoley, MN 56329-9761 · (320) 237-6252
Phone(320) 237-6252
Organization SubpartNo
Authorized OfficialJulie Ann Nybakke-hanenburgOwner · (320) 237-6252
Enumeration DateSeptember 28, 2007
✔ NPI 1689861197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in MN · 15603
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.
17641 55TH ST NE, Foley, MN 56329
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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 Child & Family Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Lighthouse Child & Family Services, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 3

Clinical Social Worker7
Marriage and Family Therapist4
Mental Health Counselor3

Clinicians, nearest first (14)

Ahnnica Baade, LPCC
Mental Health Counselor
NPI 1104318922
150 10TH ST NW STE 2
Milaca, MN 56353
(320) 983-2335
✔ PECOS10 mi
Brittany Bemboom
Clinical Social Worker
NPI 1104682632
150 10TH ST NW STE 2
Milaca, MN 56353
(320) 983-2335
✔ PECOS10 mi
Amy Boldt, LMFT
Marriage and Family Therapist
NPI 1669840948
150 10TH ST NW STE 2
Milaca, MN 56353
(320) 983-2335
✔ PECOS10 mi
Deborah Gault, LICSW
Clinical Social Worker
NPI 1083464804
150 10TH ST NW STE 2
Milaca, MN 56353
(320) 983-2335
✔ PECOS10 mi
Jennifer Goerger, LICSW
Clinical Social Worker
NPI 1740416932
150 10TH ST NW STE 2
Milaca, MN 56353
(320) 983-2335
✔ PECOS10 mi
Raeann Hagen, LICSW
Clinical Social Worker
NPI 1881133718
150 10TH ST NW STE 2
Milaca, MN 56353
(320) 272-5051
✔ PECOS10 mi
Julie Hanenburg, LICSW
Clinical Social Worker
NPI 1710108790
150 10TH ST NW STE 2
Milaca, MN 56353
(320) 983-2335
✔ PECOS10 mi
Amber Hosie, LMFT
Marriage and Family Therapist
NPI 1780303040
150 10TH ST NW STE 2
Milaca, MN 56353
(320) 983-2335
✔ PECOS10 mi
Noel Willis, MS, LMFT
Marriage and Family Therapist
NPI 1487277034
150 10TH ST NW STE 2
Milaca, MN 56353
(320) 983-8033
✔ PECOS10 mi
Annaliese Thiegs, LPCC
Mental Health Counselor
NPI 1841180478
150 10TH ST NW STE 2
Milaca, MN 56353
(320) 249-3183
✔ PECOS10 mi
Joanna Wachsmuth, LICSW
Clinical Social Worker
NPI 1609754035
150 10TH ST NW STE 2
Milaca, MN 56353
(763) 389-7230
✔ PECOS10 mi
Tristen Moulzolf, LPCC
Mental Health Counselor
NPI 1326866823
1000 S BENTON DR UNIT 415
Sauk Rapids, MN 56379
(320) 309-0274
✔ PECOS19 mi
Kelsey Gruba, LMFT
Marriage and Family Therapist
NPI 1598329229
15010TH ST NW, STE 2
Milaca, MN 56353
(320) 983-2335
✔ PECOS✔ Accepts Medicare19 mi
Julia Paris, LICSW
Clinical Social Worker
NPI 1699563593
310 ELM ST N
Cambridge, MN 55008
(763) 691-6500
✔ PECOS28 mi

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 Child & Family Services's NPI number?

The NPI number for Lighthouse Child & Family Services is 1689861197. It was assigned to this organization in the NPPES registry on September 28, 2007.

Where is Lighthouse Child & Family Services located?

Lighthouse Child & Family Services is located at 17641 55th St NE, Foley, MN 56329. The listed phone number is (320) 237-6252.

What is Lighthouse Child & Family Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Lighthouse Child & Family Services enrolled in Medicare?

Yes. Lighthouse Child & Family Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lighthouse Child & Family Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 3 Medicare specialties reassign their Medicare billing to Lighthouse Child & Family 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. The largest specialties are Clinical Social Worker (7), Marriage and Family Therapist (4) and Mental Health Counselor (3). 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 Child & Family Services was last updated on September 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.