MEDICARE: LIGHTHOUSE MENTAL HEALTH PLLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1467395434
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIGHTHOUSE MENTAL HEALTH PLLC

Provider Business Mailing Address
First Line	:	6 SUMMER AVE
Second Line	:
City	:	HUDSON
State	:	NH
Zip	:	03051-3640
Country	:	US
Telephone Number	:	617-819-5714
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 CONSTITUTION DR
Second Line	:
City	:	BEDFORD
State	:	NH
Zip	:	03110-6042
Country	:	US
Telephone Number	:	617-819-5714
Fax Number	:

Authorized Official
Title or Position	:	OWNER, CMHC
Name	:	ASHLEY SANTANA
Credential	:
Telephone Number	:	617-819-5714

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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