MEDICARE: BK JONES LIGHTHOUSE HEALING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1386570190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BK JONES LIGHTHOUSE HEALING, LLC

Provider Business Mailing Address
First Line	:	5040 SW 28TH ST STE B
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66614-2302
Country	:	US
Telephone Number	:	785-969-2843
Fax Number	:

Provider Business Practice Location Address
First Line	:	5040 SW 28TH ST STE B
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66614-2302
Country	:	US
Telephone Number	:	785-969-2843
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRIAN JONES
Credential	:
Telephone Number	:	785-969-2843

Provider Enumeration Date	:	06/19/2026
Last Update Date	:	06/19/2026

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