NPIMap

Organization Active NPI

Lantern Therapeutic Services

  • Community/Behavioral Health Agency
  • Waldorf, MD
National Provider Identifier
1942529920
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LANTERN THERAPEUTIC SERVICES
Practice address
11680 Doolittle Dr Ste 111
Waldorf, MD 20602-3802
Phone
(240) 607-2756
Fax
(240) 607-2776
NPI assigned
May 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Ms. Karen Jones, LCPC
Title
Ceo
Phone
(301) 396-8404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

11680 Doolittle Dr Ste 111
Waldorf, MD 20602-3802

Mailing address

1282 Smallwood Dr W
Suite 507
Waldorf, MD 20603-4732
Phone (240) 607-2756

Other identifiers 1

IdentifierTypeStateIssuer
422505800MedicaidMD

National Provider Directory

National Provider Directory

Locations

11680 Doolittle Dr
Ste 111
Waldorf, MD 20602
Phone (240) 441-8524

11680 Doolittle Dr
Ste 119
Waldorf, MD 20602

NPI Registry JSON

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

{
    "created_epoch": "1275091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1942529920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 SMALLWOOD DR W",
            "address_2": "SUITE 507",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034732",
            "telephone_number": "240-607-2756",
            "fax_number": "240-607-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11680 DOOLITTLE DR STE 111",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023802",
            "telephone_number": "240-607-2756",
            "fax_number": "240-607-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANTERN THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-29",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-396-8404",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422505800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.