Lighthouse Behavioral Wellness Centers
Lighthouse Behavioral Wellness Centers is a healthcare organization registered as Mental Health Clinic/Center (Including Community Mental Health Center) in Seminole, OK, holding Type 2 (organization) NPI 1669528303 since 2007. The authorized official on file is Deana Tharp, Deputy Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1669528303 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lighthouse Behavioral Wellness Centers |
| Practice address | 2010 BOREN BLVD, Seminole, OK, 74868 |
| Phone | 5802235070 |
| Fax | 5802235617 |
| 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 L | Medicaid | OK | — |
Copy-ready billing details
Provider: Lighthouse Behavioral Wellness Centers NPI: 1669528303 Taxonomy: 261QM0801X (Mental Health Clinic/Center (Including Community Mental Health Center)) Address: 2010 BOREN BLVD, Seminole, OK, 74868
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1316983075 | Kristen Bomboy | Individual | Nurse Practitioner | Seminole, OK |
| 1801932017 | Mental Health Services of Southern Oklahoma | Organization | Case Management Agency | Seminole, OK |
| 1508071887 | Kristen Street | Individual | Mental Health Counselor | Seminole, OK |
| 1487856126 | Jeannerosa Lay | Individual | Mental Health Counselor | Seminole, OK |
| 1629273479 | Glenda Crowell | Individual | Mental Health Counselor | Seminole, OK |
| 1841463890 | Shirley Owens | Individual | Mental Health Counselor | Seminole, OK |
| 1134369887 | Melanie Mize | Individual | Case Manager/Care Coordinator | Seminole, OK |
| 1841507092 | Mary Nordwall | Individual | Counselor | Seminole, OK |
Verify this record
Cross-check NPI 1669528303 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
Who is the authorized official for Lighthouse Behavioral Wellness Centers?
What is the NPI number for Lighthouse Behavioral Wellness Centers?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-05-20.