LAKE COUNTY CENTER, LLC
NPI 1124659123
Clinic/Center - Rehabilitation, Substance Use Disorder in Gurnee, IL

Q: What is Lake County Center, LLC's NPI number?

The NPI number for Lake County Center, LLC is 1124659123. It was assigned to this organization in the NPPES registry on January 29, 2020.

Q: What is Lake County Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since January 29, 2020

310 S GREENLEAF ST STE 206207, GURNEE, IL 60031(847) 599-8902 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 19, 2022, Jan 29, 2020 (2 updates tracked since 2020).

On this page

About Lake County Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE COUNTY CENTER, LLC (NPI 1124659123) is a healthcare organization registered as a rehabilitation, substance use disorder in Gurnee, Illinois and active in the NPI registry since January 2020. The organization lists Hilary Harris, Director, as its authorized official.

NPPES Registry Identity

NPI1124659123

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameLAKE COUNTY CENTER, LLC

Location Address310 S GREENLEAF ST STE 206207Gurnee, IL 60031-5708

Mailing Address310 S Greenleaf St Ste 206207Gurnee, IL 60031-5708

Phone(847) 599-8902

Organization SubpartNo

Authorized OfficialHilary HarrisDirector · (847) 599-8902

Enumeration DateJanuary 29, 2020

Last NPPES UpdateJanuary 19, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2022

✔ NPI 1124659123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X

310 S GREENLEAF ST STE 206207, Gurnee, IL 60031

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lake County Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateIllinoisEnrollment IDO20210416000683Non-DME Part B · Opioid Treatment Program (OTP)Due dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

362 services12 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake County Center, LLC's NPI number?

The NPI number for Lake County Center, LLC is 1124659123. It was assigned to this organization in the NPPES registry on January 29, 2020.

Where is Lake County Center, LLC located?

Lake County Center, LLC is located at 310 S Greenleaf St Ste 206207, Gurnee, IL 60031. The listed phone number is (847) 599-8902.

What is Lake County Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Is Lake County Center, LLC enrolled in Medicare?

Yes. Lake County Center, LLC is registered in the Medicare PECOS enrollment system.

When is Lake County Center, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Opioid Treatment Program (OTP)) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Lake County Center, LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Lake County Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake County Center, LLC was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.