LIGHTFULLY BEHAVIORAL HEALTH
NPI 1144936311
Clinic/Center - Adult Mental Health in Thousand Oaks, CA

NPI Status: Active since January 30, 2023

Contact Information

2945 TOWNSGATE RD STE 320
THOUSAND OAKS, CA
ZIP 91361
Phone: (760) 918-1505

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  • Organization
  • Clinic/Center
  • Adult Mental Health
  • CLIA Number: 05D2294308
  • CLIA Cert. Type: Other - BEHAVIORAL HEALTH RESIDEN
  • CLIA Exp. Date: 11-20-2025

About LIGHTFULLY BEHAVIORAL HEALTH

This page provides the complete NPI Profile along with additional information for Lightfully Behavioral Health, a provider established in Thousand Oaks, California operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1144936311 assigned on January 2023. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Lightfully Behavioral Health. The authorized official of this NPI record is Tracy Marie Rogers Lmhc (Vp Of Revenue)

NPI
1144936311
Provider Legal Name
MERAKI MANAGEMENT- CA LLC
Other Organization Name
LIGHTFULLY BEHAVIORAL HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2945 TOWNSGATE RD STE 320 THOUSAND OAKS, CA 91361
Location Phone
(760) 918-1505
Mailing Address
PO BOX 45973 SAN FRANCISCO, CA 94145
Mailing Phone
(805) 728-9093
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-30-2023
Last Update Date
08-23-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TRACY MARIE ROGERS LMHC

Authorized Official Title
VP OF REVENUE
Authorized Official Phone
(805) 728-9093

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2294308
Facility Type
Other - BEHAVIORAL HEALTH RESIDEN
Certificate Effective Date
November 21, 2023
Certificate Expiration Date
November 20, 2025
Laboratory Director
KATHRYN HIRST
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lightfully Behavioral Health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144936311
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21841831232
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 8 + 3 + 1 + 2 + 3 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1144936311 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144936311, enumerated in the NPI registry as an "organization" on January 30, 2023

The provider is located at 2945 Townsgate Rd Ste 320 Thousand Oaks, Ca 91361 and the phone number is (760) 918-1505

This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health

The provider's CLIA number is 05D2294308 for a "other - behavioral health residen" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 30, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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