Leading Light Behavioral Health, Inc
NPI 1225688708ActiveOrganization· Counselor, Professional· Brockton, MA
Counselor, Professional in Brockton, Massachusetts, registered in NPPES in September 2019. The authorized official on file is Guan Q. Ellerbe, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1225688708 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 16, 2019 |
| Last updated in NPPES | Sep 17, 2025 |
| Certified by provider | Sep 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
| Counselor | 101Y00000X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Marriage & Family Therapist | 106H00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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