GUIDING LIGHTHOUSE THERAPY, LLC – Adult Mental Health Clinic/Center, NPI 1457199986

GUIDING LIGHTHOUSE THERAPY, LLC is a healthcare provider. based in Corvallis, Oregon. specializing in Adult Mental Health Clinic/Center. The NPI Number for GUIDING LIGHTHOUSE THERAPY, LLC is 1457199986

Main info

Organization
Name
GUIDING LIGHTHOUSE THERAPY, LLC
NPI
1457199986
Phone
(541) 286-5031
Address
2042 SW KENDRA ST
Authorized Official
PATTY KOKER MENTAL HEALTH THERAPIST LCSW
Enumeration Date
18 July 2024
Last Update Date
18 July 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

Provider Addresses for GUIDING LIGHTHOUSE THERAPY, LLC

  • 2042 SW KENDRA ST

    CORVALLIS, OR 973332266

    Phone: (541) 286-5031

    Type: Mailing

  • 2306 NW KINGS BLVD

    CORVALLIS, OR 973303925

    Phone: (541) 286-5031

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20241209001567OClinic/Group PracticeORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97333)

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Reviews

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Frequently asked questions

Is there an official ID for GUIDING LIGHTHOUSE THERAPY, LLC in U.S. healthcare records?
The official identifier for GUIDING LIGHTHOUSE THERAPY, LLC is NPI 1457199986.
Would GUIDING LIGHTHOUSE THERAPY, LLC appear as active to a payer?
You can treat GUIDING LIGHTHOUSE THERAPY, LLC as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with GUIDING LIGHTHOUSE THERAPY, LLC?
GUIDING LIGHTHOUSE THERAPY, LLC's record emphasizes Adult Mental Health Clinic/Center. Clinical services aligned with this taxonomy classification.
Is GUIDING LIGHTHOUSE THERAPY, LLC associated with Corvallis?
Public fields place GUIDING LIGHTHOUSE THERAPY, LLC around Corvallis, Oregon. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for GUIDING LIGHTHOUSE THERAPY, LLC is noted as July 18, 2024 where the registry provides it.

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