Lantern Residences

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

LANTERN RESIDENCES

Practice address

3043 Matipan Ave
N Charleston, SC 29405-8206

Phone

(843) 806-1085

NPI assigned

Feb 17, 2025

Organization subpart

No

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

Authorized official

Name

Zachary Mitchell, CPSS

Title

Owner/Client Liason

Phone

(843) 834-0448

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1235934910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 SPRING ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035219",
            "telephone_number": "843-670-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 MATIPAN AVE",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294058206",
            "telephone_number": "843-806-1085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Indian Dr",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294861928",
            "country_code": "US",
            "telephone_number": "843-806-1085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LANTERN RESIDENCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER/CLIENT LIASON",
        "authorized_official_telephone_number": "843-834-0448",
        "authorized_official_credential": "CPSS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy L Klein
• Kerri A Kolehma, MD
• Anita M Korbe, FNP
• Dale Kukla, P.T
• Seth P Kupferman, MD
• Edwin Ray Lashley, IDC
• Timothy Russell Lawton, CRT
• Marilyn Lee
• Kelly M Leighty
• Elizabeth May Leonard, M.D.

• Mental Illness Community Based Residential Treatment Facility in N Charleston, SC
• Providers in N Charleston, SC by specialty
• Mental Illness Community Based Residential Treatment Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.