Active NPI
Lantern Therapeutic Services
- Community/Behavioral Health Agency
- Waldorf, MD
National Provider Identifier
1942529920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
- Last updated
- Oct 5, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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": [],
"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.