Individual provider Active NPI

Katelyn Evelyn Dankowski, LCPC, ATR, CDVP

  • Mental Health Counselor
  • Crystal Lake, IL
National Provider Identifier
1659188092
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
451 Coventry LN Ste 101
Crystal Lake, IL 60014-7569
Phone
(815) 564-8633
NPI assigned
Dec 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 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
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250501002014 IL Practitioner - Mental Health Counselor 1153847249 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lantern Therapy Services, LTD Mental Health CurrentSince Apr 1, 2025 Accepting new patients

Locations

451 Coventry Ln
Ste 101
Crystal Lake, IL 60014
Phone (815) 503-9018

6072 Brynwood Dr
Ste 201
Rockford, IL 61114
Phone (779) 363-4390

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1659188092",
    "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"
        },
        {
            "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": "815-564-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANKOWSKI",
        "first_name": "KATELYN",
        "middle_name": "EVELYN",
        "credential": "LCPC, ATR, CDVP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-17",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.