LIGHTRISE FAMILY CHRISTIAN COUNSELING (NPI# 1487994679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487994679 |
| Entity Type | Organization |
| Organization Name | LIGHTRISE FAMILY CHRISTIAN COUNSELING |
| Other Organization Name | LIGHTRISE FAMILY COUNSELING |
| Practice Address |
265 Exchange Dr Suite 105 Crystal Lake IL 60014-6230 |
| Practice Telephone | 2242864673 |
| Mailing Telephone | 2242864673 |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |
| Authorized Official Name | MR. MADISON C BERESFORD (NCCA LICENSED PASTORAL COUNSELOR) |
| Authorized Official Telephone | 2242864673 |
| Authorized Official Credential | MIN., B.C.M.F. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| LightRise Family Counseling | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265863641 | Lightrise Family Christian Counseling | Community/Behavioral Health | 265 Exchange Dr, 101b, Crystal Lake, IL 60014-6230 | 2013-12-10 |
| Street Address |
265 EXCHANGE DR SUITE 105 |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-6230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215392659 | Madison Beresford | Counselor | 265 Exchange Dr, Suite 101b, Crystal Lake, IL 60014-6230 | 2015-12-30 |
| 1265863641 | Lightrise Family Christian Counseling | Community/Behavioral Health | 265 Exchange Dr, 101b, Crystal Lake, IL 60014-6230 | 2013-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992853 | Krista Lynae Lambert | Counselor | 1064 Plum Tree Dr, Crystal Lake, IL 60014-8310 | 2020-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568093391 | Mickenzie Crowley | Counselor | 27w140 Roosevelt Rd Ste 203, Winfield, IL 60190-1641 | 2020-01-30 |
| 1154962181 | Christopher Spenner | Counselor | 229 East Poplar Street, Noble, IL 62868 | 2019-10-01 |
| 1790336071 | Carlene Appel | Counselor | 256 Fremont Ct, Bloomingdale, IL 60108-1818 | 2019-09-27 |
| 1902395064 | Eden Development Network | Counselor | 17470 Sterling Ave, Country Club Hills, IL 60478-4982 | 2018-05-04 |
| 1982128195 | Molly Hoogerwerf | Counselor | 117 Irvine St Ste B, Galena, IL 61036-1365 | 2017-07-29 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1952841686 | Frank Zimmerman | Counselor | 6816 N 2nd St, Machesney Park, IL 61115-3704 | 2017-02-28 |
| 1932648375 | Vickie Mccarty | Counselor | 822 W Vermilion St, Catlin, IL 61817-9644 | 2017-02-17 |
| 1053786665 | Patrick Froelich | Counselor | 114 S Neil St, Champaign, IL 61820-4910 | 2015-12-08 |
| 1235508029 | Jon Dillow | Counselor | 114 Sunflower St, Savoy, IL 61874-7468 | 2015-09-22 |
| Find all providers with the same taxonomy | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
Please comment or provide details below to improve the information on LIGHTRISE FAMILY CHRISTIAN COUNSELING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.