Lighthouse Behavioral Wellness Centers
Lighthouse Behavioral Wellness Centers is a healthcare organization registered as Mental Health Clinic/Center (Including Community Mental Health Center) in Ada, OK, holding Type 2 (organization) NPI 1033265764 since 2007. The authorized official on file is Deana Tharp, Deputy Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1033265764 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lighthouse Behavioral Wellness Centers |
| Practice address | 301 W 4TH ST, Ada, OK, 74820 |
| Phone | 5804362690 |
| Fax | 5804365539 |
| Enumeration date | 2007-01-26 |
| Last updated in NPPES | 2020-05-20 |
Authorized official
| Name | Deana Tharp |
|---|---|
| Title | Deputy Executive Director |
| Phone | 5803197305 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100728830 K | Medicaid | OK | — |
Copy-ready billing details
Provider: Lighthouse Behavioral Wellness Centers NPI: 1033265764 Taxonomy: 261QM0801X (Mental Health Clinic/Center (Including Community Mental Health Center)) Address: 301 W 4TH ST, Ada, OK, 74820
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1679619878 | Mental Health Services of Southern Oklahoma | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Ada, OK |
| 1811031016 | Martha Hernandez | Individual | Psychiatric/Mental Health Nurse Practitioner | Ada, OK |
| 1245410661 | Lori Robson | Individual | Mental Health Counselor | Ada, OK |
| 1295077147 | Marissa Madden | Individual | Case Manager/Care Coordinator | Ada, OK |
| 1386060598 | Lighthouse Behavioral Wellness Centers | Organization | Psychiatry Physician | Ada, OK |
| 1174925804 | George Burr | Individual | Case Manager/Care Coordinator | Ada, OK |
| 1205223815 | Brendan Kellogg | Individual | Peer Specialist | Ada, OK |
| 1447624630 | Kathryn Dickerson | Individual | Case Manager/Care Coordinator | Ada, OK |
Verify this record
Cross-check NPI 1033265764 against the authoritative CMS record: view Lighthouse Behavioral Wellness Centers on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Lighthouse Behavioral Wellness Centers located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-05-20.