Elevated Life Therapy, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ELEVATED LIFE THERAPY, PLLC

Practice address

105 E Main St Ste 307
Morris, IL 60450-2149

Phone

(815) 661-6257

NPI assigned

Jul 15, 2022

Organization subpart

No

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

Authorized official

Name

Raeann LowryNPI 1053928440

Title

LCPC

Phone

(815) 250-7525

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raeann Lowry

  • Professional Counselor
  • Morris, IL
  • NPI 1053928440
  NPD Authorized official

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1770217614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E JEFFERSON ST",
            "city": "GARDNER",
            "state": "IL",
            "postal_code": "604247011",
            "telephone_number": "815-250-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E MAIN ST STE 307",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502149",
            "telephone_number": "815-661-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED LIFE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "RAEANN",
        "authorized_official_title_or_position": "LCPC",
        "authorized_official_telephone_number": "815-250-7525"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lowryraeann@gmail.com",
            "affiliation": "N",
            "address_1": "105 E Main St Ste 307",
            "city": "Morris",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604502149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Email",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "105 E Main St Ste 307",
            "city": "Morris",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604502149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Duncan, DNP, FNP-BC
• James Vincent Dyers Jr., D.O.
• Monica Edem
• Emily Christine Edman, MS, ATC
• Ahmed Mostafa Eldib, MD
• Elite Gynecology S.C.
• Kayla M Ely, RN
• Madeline Rose Enervold, LCSW
• Robert J. Engle, DDS
• Epic Group-Emergency Physicians an Illinois Concern S.C.

• Professional Counselor in Morris, IL
• Providers in Morris, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.