| Lighthouse Counseling Services, Llc | |
|
353 Forest Grove Dr Ste 100 Pewaukee WI 53072-3765 | |
| (262) 719-9470 | |
| (262) 691-2972 |
| Full Name | Lighthouse Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 353 Forest Grove Dr Ste 100, Pewaukee, Wisconsin |
| Authorized Official Name and Position | Jefferson D Ferguson (THERAPIST/CO-OWNER) |
| Authorized Official Contact | 2627199470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Counseling Services, Llc 353 Forest Grove Dr Ste 100 Pewaukee WI 53072-3765 Ph: (262) 719-9470 | Lighthouse Counseling Services, Llc 353 Forest Grove Dr Ste 100 Pewaukee WI 53072-3765 Ph: (262) 719-9470 |
| NPI Number | 1821799370 |
|---|---|
| Provider Enumeration Date | 03/13/2023 |
| Last Update Date | 09/10/2024 |
| Certification Date | 09/10/2024 |
| Medicare PECOS PAC ID | 1456880020 |
|---|---|
| Medicare Enrollment ID | O20250128000533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821799370 | NPI | - | NPPES |
| 40965300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Judith Marie Crabb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164727509 PECOS PAC ID: 3274062849 Enrollment ID: I20250128000653 |
| Provider Name | Hanna Bakken |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760193494 PECOS PAC ID: 4981134152 Enrollment ID: I20250204002171 |
| Provider Name | Megan Nicole Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699468769 PECOS PAC ID: 6901336189 Enrollment ID: I20250204002519 |
| Provider Name | Jefferson David Ferguson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164533147 PECOS PAC ID: 4183153752 Enrollment ID: I20250303002697 |
Thundermist, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2108a Silvernail Rd, Suite 116, Pewaukee, WI 53072 Phone: 888-468-9981 | |
Raclaw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: N27w23960 Paul Rd Ste 5, Pewaukee, WI 53072 Phone: 414-367-8070 | |
Valdez & Soto, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2351 Silvernail Rd, Pewaukee, WI 53072 Phone: 262-260-9000 Fax: 262-260-9109 | |
Barbara C Sieck Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Forest Grove Dr, Suite 201, Pewaukee, WI 53072 Phone: 262-899-2106 | |
Premier Care Of Wisconsin, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1611 Silvernail Road, Pewaukee, WI 53072 Phone: 262-304-0150 Fax: 262-933-4244 | |
Lakefront Wellness Center, Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 W Wisconsin Ave Ste 2b, Pewaukee, WI 53072 Phone: 262-695-8857 Fax: 262-695-8879 | |
Pediatric Neuropsychology And Treatment Associates, Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: N27w23953 Paul Rd, Ste. 206, Pewaukee, WI 53072 Phone: 262-347-0701 Fax: 262-347-0705 |