Lighthouse Behavioral Wellness Centers
Lighthouse Behavioral Wellness Centers is a healthcare organization registered as Child & Adolescent Psychiatry Physician in Ardmore, OK, holding Type 2 (organization) NPI 1649796590 since 2017. The authorized official on file is Deana Tharp, Deputy Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1649796590 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lighthouse Behavioral Wellness Centers |
| Practice address | 2530 S COMMERCE ST BLDG C, Ardmore, OK, 73401 |
| Phone | 5802265048 |
| Fax | 5802263569 |
| Enumeration date | 2017-08-22 |
| 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 |
|---|---|---|---|---|
| 2084P0804X | Child & Adolescent Psychiatry Physician | Primary | 4157 | OK |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100728830 | Medicaid | OK | — |
Copy-ready billing details
Provider: Lighthouse Behavioral Wellness Centers NPI: 1649796590 Taxonomy: 2084P0804X (Child & Adolescent Psychiatry Physician) Address: 2530 S COMMERCE ST BLDG C, Ardmore, OK, 73401
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1689832347 | Lighthouse Behavioral Wellness Centers | Organization | Community/Behavioral Health Agency | Ardmore, OK |
| 1124323746 | Jobrena Tucker | Individual | Mental Health Counselor | Ardmore, OK |
| 1932518024 | Jorie Harris | Individual | Counselor | Ardmore, OK |
| 1205211505 | Michele Roberts | Individual | Case Manager/Care Coordinator | Ardmore, OK |
| 1548617269 | Chloe Richards | Individual | Mental Health Counselor | Ardmore, OK |
| 1831615525 | Matthew Honeycutt | Individual | Peer Specialist | Ardmore, OK |
| 1215426374 | Doreen Saffle | Individual | Case Manager/Care Coordinator | Ardmore, OK |
| 1275017469 | Jamie Lang | Individual | Mental Health Counselor | Ardmore, OK |
Verify this record
Cross-check NPI 1649796590 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.