Light Source Group LLC
NPI 1922832906 · Mental Health Clinic/Center (Including Community Mental Health Center) · Jacksonville, AR
Light Source Group LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Jacksonville, AR (NPI 1922832906).
Provider details
- NPI number
- 1922832906
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sean Ronnau, Counselor(501) 747-0232
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2024-08-30
- Last updated
- 2024-11-18
- Certified
- 2024-11-18
Frequently asked questions
- What is Light Source Group LLC's NPI number?
- Light Source Group LLC's National Provider Identifier (NPI) is 1922832906, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Light Source Group LLC?
- Light Source Group LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Light Source Group LLC located?
- Light Source Group LLC's practice location on file with NPPES is 625 N 1st St Ste 200, Jacksonville, AR 72076-4117.
- What is Light Source Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Light Source Group LLC is (501) 985-0292.
- Who is the authorized official for Light Source Group LLC?
- The authorized official listed on Light Source Group LLC's NPPES record is Sean Ronnau, Counselor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Light Source Group LLC's NPI active?
- Yes — Light Source Group LLC's NPI (1922832906) is active in the NPPES registry as of the last update on 2024-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.