Lighthouse Wellness Group
NPI 1114739604ActiveOrganization· Counselor, Mental Health· St Augustine, FL
Counselor, Mental Health in St Augustine, Florida, registered in NPPES in January 2025. The authorized official on file is Cooper T. Moore, Owner.
Overview
| NPI | 1114739604 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 22, 2025 |
| Last updated in NPPES | Jan 31, 2025 |
| Certified by provider | Jan 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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