LIGHTHOUSE BEHAVIORAL HEALTH, PLLC
NPI 1699155226
Psychologist - Counseling in Saint Joseph, MI

Active since June 09, 2015
811 SHIP ST, SUITE 4B, SAINT JOSEPH, MI 49085(269) 985-3618(269) 609-6009 Get Directions Write a Review

NPPES record last updated: June 9, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lighthouse Behavioral Health, Pllc NPPES

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

LIGHTHOUSE BEHAVIORAL HEALTH, PLLC (NPI 1699155226) is a healthcare organization registered as a counseling in Saint Joseph, Michigan and active in the NPI registry since June 2015. The organization lists Bruce Patrick Hackworth, Owner/licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1699155226
Entity TypeOrganization
Primary Taxonomy103TC1900X
Legal Business NameLIGHTHOUSE BEHAVIORAL HEALTH, PLLC
Location Address811 SHIP ST, SUITE 4BSaint Joseph, MI 49085-1171
Mailing Address811 Ship St, Suite 4bSaint Joseph, MI 49085-1171 · (269) 985-3618 · Fax (269) 609-6009
Fax(269) 609-6009
Organization SubpartNo
Authorized OfficialBruce Patrick HackworthOwner/licensed Psychologist · (269) 985-3618
Enumeration DateJune 9, 2015
✔ NPI 1699155226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License✔ Licensed in MI · 6301006344
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
811 SHIP ST, Saint Joseph, MI 49085

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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 Behavioral Health, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lighthouse Behavioral Health, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Psychologist
NPI 1063448918
811 SHIP ST SUITE 4B
Saint Joseph, MI 49085
(269) 985-3618
✔ PECOSSame address
Clinical Psychologist
NPI 1710519376
811 SHIP ST STE 4B
Saint Joseph, MI 49085
(269) 985-3618
✔ PECOSSame address

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 Behavioral Health, PLLC's NPI number?

The NPI number for Lighthouse Behavioral Health, PLLC is 1699155226. It was assigned to this organization in the NPPES registry on June 9, 2015.

Where is Lighthouse Behavioral Health, PLLC located?

Lighthouse Behavioral Health, PLLC is located at 811 Ship St Suite 4B, Saint Joseph, MI 49085. The listed phone number is (269) 985-3618.

What is Lighthouse Behavioral Health, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Lighthouse Behavioral Health, PLLC enrolled in Medicare?

Yes. Lighthouse Behavioral Health, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lighthouse Behavioral Health, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Lighthouse Behavioral Health, PLLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lighthouse Behavioral Health, PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lighthouse Behavioral Health, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lighthouse Behavioral Health, PLLC was last updated on June 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.