LIGHTHOUSE BEHAVIORAL HEALTH
NPI 1740267285
Psychologist in Lubbock, TX

Active since December 27, 2005
5147 69TH ST STE D, LUBBOCK, TX 79424(806) 771-8808(806) 771-8809 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 4, 2024, Jan 12, 2022, Dec 15, 2020 (3 updates tracked since 2020).

About Lighthouse Behavioral Health NPPES

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

LIGHTHOUSE BEHAVIORAL HEALTH (NPI 1740267285) is a healthcare organization registered as a psychologist in Lubbock, Texas and active in the NPI registry since December 2005. The organization maintains a secondary practice location in Alto and lists Stephanie Stimac, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1740267285
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NamePATRICK D RANDOLPH PHD INC
Location Address5147 69TH ST STE DLubbock, TX 79424-1646
Mailing Address5147 69th St Ste DLubbock, TX 79424-1646 · (806) 771-8808 · Fax (806) 771-8809
Fax(806) 771-8809
Organization SubpartNo
Authorized OfficialStephanie StimacOffice Manager · (806) 771-8808
Enumeration DateDecember 27, 2005
Last NPPES UpdateJanuary 4, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
✔ NPI 1740267285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in TX · 24796
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
5147 69TH ST STE D, Lubbock, TX 79424

Other Names 1

Doing Business AsLighthouse Behavioral Health

Secondary Practice Location 1

Location 1108 ROSE WOOD TRLALTO, NM 88312-8831 · Phone (806) 771-8808 · Fax (806) 771-8809

Other Identifiers 3

Other0095MQTX · Blue Cross Blue Shield
Medicaid0992653TX
Medicaid95074732NM

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 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, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Psychologist
NPI 1013060946
5147 69TH ST STE D
Lubbock, TX 79424
(806) 771-8808
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1720007685
3115 LOOP 306 SUITE 110
San Angelo, TX 76904
(325) 942-1952
✔ PECOS✔ Accepts Medicare170 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 Patrick D Randolph Phd Inc's NPI number?

The NPI number for Patrick D Randolph Phd Inc is 1740267285. It was assigned to this organization in the NPPES registry on December 27, 2005. The provider is doing business as Lighthouse Behavioral Health.

Where is Patrick D Randolph Phd Inc located?

Patrick D Randolph Phd Inc is located at 5147 69th St Ste D, Lubbock, TX 79424. The listed phone number is (806) 771-8808.

What is Patrick D Randolph Phd Inc's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Patrick D Randolph Phd Inc enrolled in Medicare?

Yes. Patrick D Randolph Phd Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Patrick D Randolph Phd Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Patrick D Randolph Phd Inc. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Patrick D Randolph Phd Inc accept?

Health plans from Cigna Healthcare and WellPoint list Patrick D Randolph Phd Inc 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 Patrick D Randolph Phd Inc was last updated on January 4, 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.