Mara'S Lighthouse Counseling Center, LLC
NPI 1407478613 · Clinical Social Worker · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mara'S Lighthouse Counseling Center, LLC is a Clinical Social Worker organization in Jacksonville, FL (NPI 1407478613).
Provider details
- NPI number
- 1407478613
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Alex De Guzman, Office Manager(904) 990-8105
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 108 Kingsley Ave Ste 212214Orange Park, FL 32073-5685Phone: (904) 990-8105Fax: (904) 562-3359
Registry dates
- Enumerated
- 2020-05-11
- Last updated
- 2025-11-18
- Certified
- 2025-11-18
Frequently asked questions
- What is Mara'S Lighthouse Counseling Center, LLC's NPI number?
- Mara'S Lighthouse Counseling Center, LLC's National Provider Identifier (NPI) is 1407478613, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mara'S Lighthouse Counseling Center, LLC?
- Mara'S Lighthouse Counseling Center, LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Mara'S Lighthouse Counseling Center, LLC located?
- Mara'S Lighthouse Counseling Center, LLC's practice location on file with NPPES is 12086 Fort Caroline Rd Ste 201, Jacksonville, FL 32225-2689.
- What is Mara'S Lighthouse Counseling Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mara'S Lighthouse Counseling Center, LLC is (904) 990-8105.
- Does Mara'S Lighthouse Counseling Center, LLC accept Medicare?
- Mara'S Lighthouse Counseling Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mara'S Lighthouse Counseling Center, LLC?
- The authorized official listed on Mara'S Lighthouse Counseling Center, LLC's NPPES record is Alex De Guzman, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mara'S Lighthouse Counseling Center, LLC's NPI active?
- Yes — Mara'S Lighthouse Counseling Center, LLC's NPI (1407478613) is active in the NPPES registry as of the last update on 2025-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.