LIGHTHOUSE THERAPY SERVICES LLC NPI 1477530228

NPI Information

  • NPI: 1477530228
  • Provider Name: LIGHTHOUSE THERAPY SERVICES, LLC
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Address: 314 NIAGARA AVE
    SHEBOYGAN, WI
    ZIP 53081
  • Phone: (920) 451-8667

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NPI Details

LIGHTHOUSE THERAPY SERVICES, LLC is a point of service in Sheboygan, WI. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. LIGHTHOUSE THERAPY SERVICES, LLC NPI is 1477530228. The provider is registered as an organization entity type.

The provider's business location address is:

314 NIAGARA AVE
SHEBOYGAN, WI
ZIP 53081-128
Phone: (920) 451-8667
Fax: (920) 451-8799

The provider's authorized official is Daniel Huber .
The authorized official title is Co-owner and has the following contact phone number (920) 451-8667.

The enumeration date for this NPI number is 12/22/2005 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1302R00000XHealth Maintenance OrganizationWISCONSINNo
2305S00000XPoint of ServiceWISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
142194400MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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