LIGHTHOUSE NEUROFEEDBACK & BEHAVIOR ANALYSIS INC. NPI 1477937522

NPI Information

  • NPI: 1477937522
  • Provider Name: LIGHTHOUSE NEUROFEEDBACK & BEHAVIOR ANALYSIS, INC.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • :
  • Address: 720 100 YEARPARTY CT STE 200
    LONGMONT, CO
    ZIP 80504
  • Phone: (720) 449-6676

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NPI Details

LIGHTHOUSE NEUROFEEDBACK & BEHAVIOR ANALYSIS, INC. is a mental health counselor in Longmont, CO. LIGHTHOUSE NEUROFEEDBACK & BEHAVIOR ANALYSIS, INC. NPI is 1477937522. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

720 100 YEARPARTY CT STE 200
LONGMONT, CO
ZIP 80504-591
Phone: (720) 449-6676
Fax: (303) 374-5224

The provider's authorized official is Hui-chung Jacquelina King .
The authorized official title is Director Of Operations and has the following contact phone number (763) 318-8088.

The enumeration date for this NPI number is 7/17/2015 and was last updated on 7/10/2025.

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
1103K00000XBehavior Analyst1-09-5794COLORADONo
2103TP2701XPsychologistGroup PsychotherapyNo
3106S00000XBehavior TechnicianNo
4101YM0800XCounselorMental HealthYes

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
19000153728MEDICAIDCOLORADO

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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