Lighthouse Behavioral Wellness Centers
Lighthouse Behavioral Wellness Centers is a healthcare organization registered as Psychiatry Physician in Ada, OK, holding Type 2 (organization) NPI 1386060598 since 2014. The authorized official on file is Deana Tharp, Deputy Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1386060598 |
|---|---|
| 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 | 2014-03-12 |
| 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 |
|---|---|---|---|---|
| 2084P0800X | Psychiatry Physician | Primary | 100728830 | OK |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100728830 | Medicaid | OK | — |
Copy-ready billing details
Provider: Lighthouse Behavioral Wellness Centers NPI: 1386060598 Taxonomy: 2084P0800X (Psychiatry Physician) Address: 301 W 4TH ST, Ada, OK, 74820
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1033265764 | Lighthouse Behavioral Wellness Centers | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Ada, OK |
| 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 |
| 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 1386060598 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
What is a Type 2 NPI?
What type of organization is Lighthouse Behavioral Wellness Centers?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-05-20.