Lighthouse Mental Wellness PLLC
NPI 1821564790ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Pembroke, MA
Nurse Practitioner, Psych/Mental Health in Pembroke, Massachusetts, registered in NPPES in October 2018. The authorized official on file is Brian Banks, PMHNP-BC, Psychiatric Np/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1821564790 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 18, 2018 |
| Last updated in NPPES | Jan 13, 2025 |
| Certified by provider | Jan 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | — | — |
| Dietitian, Registered | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
Other Nurse Practitioner, Psych/Mental Health providers in Pembroke
- 1780067645
- 1508310608
- 1790335214
- 1285279398
- 1811646201
- 1841099314
- 1922969807
- 1679117808
- 1003585712
- 1366277188
- 1942500376
- 1336985688
All Nurse Practitioner, Psych/Mental Health providers in Massachusetts →