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PHOENIX LIGHTHOUSE
NPI 1932057239
Counselor in Bargersville, IN

Active since March 20, 2026
5766 SOMERSET BLVD, BARGERSVILLE, IN 46106(478) 279-9802 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2026, Mar 20, 2026 (2 updates tracked since 2026).

About Phoenix Lighthouse NPPES

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

PHOENIX LIGHTHOUSE (NPI 1932057239) is a healthcare organization registered as a counselor in Bargersville, Indiana and active in the NPI registry since March 2026. The organization lists Kamau Sullivan, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1932057239
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NamePHOENIX LIGHTHOUSE
Location Address5766 SOMERSET BLVDBargersville, IN 46106
Mailing Address1710 Keller Pkwy # 2011Keller, TX 76248-3749 · (478) 279-9802
Phone(478) 279-9802
Organization SubpartNo
Authorized OfficialKamau SullivanClinical Director · (317) 409-5755
Enumeration DateMarch 20, 2026
Last NPPES UpdateJune 9, 20262 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
✔ NPI 1932057239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
5766 SOMERSET BLVD, Bargersville, IN 46106
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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

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 Phoenix Lighthouse's NPI number?

The NPI number for Phoenix Lighthouse is 1932057239. It was assigned to this organization in the NPPES registry on March 20, 2026.

Where is Phoenix Lighthouse located?

Phoenix Lighthouse is located at 5766 Somerset Blvd, Bargersville, IN 46106. The listed phone number is (478) 279-9802.

What is Phoenix Lighthouse's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Lighthouse was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.