Active NPI
Lantern Therapy Services, LTD
- Mental Health Counselor
- Crystal Lake, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.007379
- Legal business name
- LANTERN THERAPY SERVICES, LTD
- Practice address
- 451 Coventry LN Ste 101
Crystal Lake, IL 60014-7569 - Phone
- (815) 503-9018
- Fax
- (779) 423-0778
- NPI assigned
- Aug 27, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Crisy Marie Gowan, LCPC
- Title
- President
- Phone
- (815) 503-9018
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.007379 | IL | Primary |
Addresses
Primary practice location
451 Coventry LN Ste 101
Crystal Lake, IL 60014-7569
Mailing address
451 Coventry LN Ste 101
Crystal Lake, IL 60014-7569
Phone (815) 564-8633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
451 Coventry Ln
Ste 101
Crystal Lake, IL 60014
Phone (815) 404-8737
457 Coventry Ln
Ste 129A
Crystal Lake, IL 60014
Phone (815) 575-6224
451 Coventry Ln
Ste 100
Crystal Lake, IL 60014
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Crystal Lake, IL
- NPI 1831420603
-
- Clinical Social Worker
- Rockford, IL
- NPI 1417338799
-
- Mental Health Counselor
- Crystal Lake, IL
- NPI 1659188092
-
- Clinical Social Worker
- Crystal Lake, IL
- NPI 1487134979
-
- Mental Health Counselor
- Crystal Lake, IL
- NPI 1962173518
-
- Social Worker
- Crystal Lake, IL
- NPI 1114636313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749513600000",
"number": "1619377637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 COVENTRY LN STE 101",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600147569",
"telephone_number": "815-564-8633",
"fax_number": "779-423-0778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 COVENTRY LN STE 101",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600147569",
"telephone_number": "815-503-9018",
"fax_number": "779-423-0778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANTERN THERAPY SERVICES, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-27",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A",
"authorized_official_last_name": "GOWAN",
"authorized_official_first_name": "CRISY",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "815-503-9018",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.007379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.