Organization Active NPI

Lifepoint Child Therapy LTD

  • Professional Counselor
  • Gurnee, IL
National Provider Identifier
1699511832
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LIFEPOINT CHILD THERAPY LTD
Doing business as
LIFEPOINT THERAPY
Practice address
5101 Washington St
Ste 1108
Gurnee, IL 60031
Phone
(224) 208-5228
NPI assigned
Jul 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Mrs. Kristin E Patten, LCPCNPI 1952535312
Title
Owner
Phone
(224) 715-0328

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

5101 Washington St
Ste 1108
Gurnee, IL 60031

Mailing address

18765 W Westwood PL
Lake Villa, IL 60046-7432
Phone (224) 715-0328

Other names 1

  • LIFEPOINT THERAPY Doing business as

National Provider Directory

National Provider Directory

Locations

5101 Washington St
Ste 1108
Gurnee, IL 60031
Phone (224) 208-5228

Practitioners & affiliated clinicians

Practitioners 1

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": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1699511832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18765 W WESTWOOD PL",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600467432",
            "telephone_number": "224-715-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 WASHINGTON ST",
            "address_2": "STE 1108",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "60031",
            "telephone_number": "224-208-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPOINT CHILD THERAPY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "PATTEN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-715-0328",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFEPOINT THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.