LIGHTHOUSE INTEGRATIVE COUNSELING SERVICES LCSW MARRIAGE AND FAMILY TH
NPI 1699135566
Social Worker - Clinical in Port Jefferson, NY
About Lighthouse Integrative Counseling Services Lcsw Marriage And Family Th NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIGHTHOUSE INTEGRATIVE COUNSELING SERVICES LCSW MARRIAGE AND FAMILY TH (NPI 1699135566) is a healthcare organization registered as a clinical in Port Jefferson, New York and active in the NPI registry since March 2016. The organization lists Michelle D Conelli, Founder/director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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 Integrative Counseling Services Lcsw Marriage And Family Th is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Lighthouse Integrative Counseling Services Lcsw Marriage And Family Th, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 Integrative Counseling Services Lcsw Marriage And Family Th's NPI number?
The NPI number for Lighthouse Integrative Counseling Services Lcsw Marriage And Family Th is 1699135566. It was assigned to this organization in the NPPES registry on March 4, 2016.
Where is Lighthouse Integrative Counseling Services Lcsw Marriage And Family Th located?
Lighthouse Integrative Counseling Services Lcsw Marriage And Family Th is located at 414 Main St Ste 203A, Port Jefferson, NY 11777. The listed phone number is (631) 478-3292.
What is Lighthouse Integrative Counseling Services Lcsw Marriage And Family Th's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Lighthouse Integrative Counseling Services Lcsw Marriage And Family Th enrolled in Medicare?
Yes. Lighthouse Integrative Counseling Services Lcsw Marriage And Family Th is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lighthouse Integrative Counseling Services Lcsw Marriage And Family Th?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Lighthouse Integrative Counseling Services Lcsw Marriage And Family Th. 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 (3), Marriage and Family Therapist (2) and Mental Health Counselor (2). Of these, 6 practice within 10 miles. 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 Integrative Counseling Services Lcsw Marriage And Family Th was last updated on March 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 Integrative Counseling Services Lcsw Marriage And Family Th · NPI 1699135566
Clinical organization in Port Jefferson, New York. Organization record, active in the CMS NPPES registry since March 4, 2016.
## Identity
- **NPI:** 1699135566 (Entity type: Organization)
- **Enumerated:** March 4, 2016
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Michelle Conelli, FOUNDER/DIRECTOR
## Practice location
- **Address:** 414 MAIN ST STE 203A, Port Jefferson, NY 11777-1686
- **Phone:** (631) 478-3292 · **Fax:** (631) 476-1302
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (3), Marriage and Family Therapist (2), Mental Health Counselor (2); 6 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 4, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1699135566) · Data from the CMS NPPES public registry.