Willow Lantern Psychiatry, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WILLOW LANTERN PSYCHIATRY, PLLC

Practice address

23485 Wiegand LN
Washington, IL 61571-9797

Phone

(336) 909-4907

NPI assigned

Oct 23, 2026

Last updated

Oct 28, 2026By 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

Mika L Johnson, APRN-FPA

Title

Ceo

Phone

(708) 689-4319

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1792713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1881591667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23485 WIEGAND LN",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615719797",
            "telephone_number": "708-689-4319",
            "fax_number": "866-329-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23485 WIEGAND LN",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615719797",
            "telephone_number": "336-909-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW LANTERN PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-23",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MIKA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-689-4319",
        "authorized_official_credential": "APRN-FPA"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washington Volunteer Fire Department and Rescue Squad Inc
• Kelly L Watkins, SPEECH LANG PATH
• Lily Watts
• Kristy Lyn Wheeler, BCBA, NCSP
• Theresa A Wiese, LCSW
• Jennifer M Wilson, OD
• Jill Wirth-Rissman, MD
• Wolf Larson Enterprises LLC
• Carrie Marie Woodward, RN
• Christopher S Wright

• Psychiatric/Mental Health Nurse Practitioner in Washington, IL
• Providers in Washington, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; 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.