Lighthouse Behavioral Health, PLLC
NPI 1699155226ActiveOrganization· Psychologist, Counseling· Saint Joseph, MI
Psychologist, Counseling in Saint Joseph, Michigan, registered in NPPES in June 2015. The authorized official on file is Bruce Patrick Hackworth, PH.D., Owner/Licensed Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699155226 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 9, 2015 |
| Last updated in NPPES | Jun 9, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 6301006344 | MI |
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 (MI) |
|---|
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