LIGHTHOUSE MENTAL WELLNESS PLLC
NPI 1821564790
Nurse Practitioner - Psychiatric/Mental Health in Pembroke, MA
About Lighthouse Mental Wellness Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIGHTHOUSE MENTAL WELLNESS PLLC (NPI 1821564790) is a healthcare organization registered as a psychiatric/mental health in Pembroke, Massachusetts and active in the NPI registry since October 2018. The organization lists Brian Banks, Psychiatric Np/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 2
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 Mental Wellness Pllc 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 Mental Wellness PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 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 Mental Wellness PLLC's NPI number?
The NPI number for Lighthouse Mental Wellness PLLC is 1821564790. It was assigned to this organization in the NPPES registry on October 18, 2018.
Where is Lighthouse Mental Wellness PLLC located?
Lighthouse Mental Wellness PLLC is located at 28 Riverside Dr Ste 260, Pembroke, MA 02359. The listed phone number is (781) 472-7070.
What is Lighthouse Mental Wellness PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Lighthouse Mental Wellness PLLC enrolled in Medicare?
Yes. Lighthouse Mental Wellness PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lighthouse Mental Wellness PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Lighthouse Mental Wellness 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, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lighthouse Mental Wellness PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Lighthouse Mental Wellness 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 Mental Wellness PLLC was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 Mental Wellness Pllc · NPI 1821564790
Psychiatric/Mental Health organization in Pembroke, Massachusetts. Organization record, active in the CMS NPPES registry since October 18, 2018.
## Identity
- **NPI:** 1821564790 (Entity type: Organization)
- **Enumerated:** October 18, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Brian Banks, PSYCHIATRIC NP/OWNER
## Practice location
- **Address:** 28 RIVERSIDE DR STE 260, Pembroke, MA 02359-4947
- **Phone:** (781) 472-7070 · **Fax:** (781) 472-7071
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1821564790) · Data from the CMS NPPES public registry.