NPIMap

Organization Active NPI

Lantern Counseling LLC

  • Professional Counselor
  • Ada, MI
National Provider Identifier
1205595238
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LANTERN COUNSELING LLC
Practice address
4764 Fulton St E
Ada, MI 49301-9086
Phone
(616) 378-6201
NPI assigned
Dec 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Heidi J Nereson-Bott, LPCNPI 1487291217
Title
Co-Owner/Therapist
Phone
(616) 826-9662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4764 Fulton St E
Ada, MI 49301-9086

Mailing address

2601 Hague Ave SW
Wyoming, MI 49519-2335
Phone (616) 826-9662

National Provider Directory

National Provider Directory

Locations

4764 Fulton St E
Ada, MI 49301
Phone (616) 378-6201

4764 Fulton St E
Ste 101
Ada, MI 49301
Phone (616) 920-0703

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1205595238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 HAGUE AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495192335",
            "telephone_number": "616-826-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4764 FULTON ST E",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493019086",
            "telephone_number": "616-378-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANTERN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "NERESON-BOTT",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CO-OWNER/THERAPIST",
        "authorized_official_telephone_number": "616-826-9662",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.