Lightrise Family Christian Counseling

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Legal business name

LIGHTRISE FAMILY CHRISTIAN COUNSELING

Practice address

265 Exchange Dr
Suite 105
Crystal Lake, IL 60014-6230

Phone

(224) 286-4673

NPI assigned

Feb 25, 2013

Last updated

Feb 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Madison C Beresford, MIN., B.C.M.F.

Title

Ncca Licensed Pastoral Counselor

Phone

(224) 286-4673

Specialties & licenses 1

Addresses

Other names 1

• LightRise Family Counseling Other name

Tax ID family

Lightrise Family Christian Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lightrise Family Christian Counseling

  • Pastoral Counselor
  • Crystal Lake, IL
  • NPI 1265863641
  NPD tax ID

Locations

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1487994679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 EXCHANGE DR",
            "address_2": "SUITE 105",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146230",
            "telephone_number": "224-286-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 EXCHANGE DR",
            "address_2": "SUITE 105",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146230",
            "telephone_number": "224-286-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTRISE FAMILY CHRISTIAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "BERESFORD",
        "authorized_official_first_name": "MADISON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "NCCA LICENSED PASTORAL COUNSELOR",
        "authorized_official_telephone_number": "224-286-4673",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MIN., B.C.M.F."
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LightRise Family Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary K Liethen, M.S., CCC-SLP/L
• Lifetime Vision & Contact Lens Center, LTD.
• Lifetime Vision and Contact Lens Center
• Jacki Liggett, APN, FNP
• Lightrise Family Christian Counseling
• Kathleen Ann Ligon, LCSW
• Ryane Dana Likar
• Donna Lilly, BT
• Brendon Lin, MD
• Rachel Lynne Linden

• Pastoral Counselor in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Pastoral Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.