LIGHTHOUSE, INC.
NPI 1790112746
Counselor - Mental Health in Baltimore, MD

Active since October 07, 2013
60 MELLOR AVE, BALTIMORE, MD 21228(410) 788-5483(410) 788-5486 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lighthouse, Inc. NPPES

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

LIGHTHOUSE, INC. (NPI 1790112746) is a healthcare organization registered as a mental health in Baltimore, Maryland and active in the NPI registry since October 2013. The organization lists Drew Carberry, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1790112746
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameLIGHTHOUSE, INC.
Location Address60 MELLOR AVEBaltimore, MD 21228-5104
Mailing Address60 Mellor AveBaltimore, MD 21228-5104 · (410) 788-5483 · Fax (410) 788-5486
Fax(410) 788-5486
Organization SubpartNo
Authorized OfficialDrew CarberryExecutive Director · (410) 788-5483
Enumeration DateOctober 7, 2013
Last NPPES UpdateJune 11, 2015
✔ NPI 1790112746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
60 MELLOR AVE, Baltimore, MD 21228

Other Identifiers 1

OtherBD70MD · Carefirst Bcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, Inc. 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, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1649517889
1110 BENFIELD BLVD STE H
Millersville, MD 21108
(410) 353-5553
✔ PECOS✔ Accepts Medicare13 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, Inc.'s NPI number?

The NPI number for Lighthouse, Inc. is 1790112746. It was assigned to this organization in the NPPES registry on October 7, 2013.

Where is Lighthouse, Inc. located?

Lighthouse, Inc. is located at 60 Mellor Ave, Baltimore, MD 21228. The listed phone number is (410) 788-5483.

What is Lighthouse, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Lighthouse, Inc. enrolled in Medicare?

Yes. Lighthouse, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lighthouse, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Lighthouse, 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. 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, Inc. was last updated on June 11, 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.