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INDEPENDENCE CENTER, INC.
NPI 1174709810
Community/Behavioral Health in Waukegan, IL

Active since January 11, 2008
2025 WASHINGTON ST, WAUKEGAN, IL 60085(847) 360-1020(847) 360-1065 Get Directions Write a Review

NPPES record last updated: November 4, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Independence Center, Inc. NPPES

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

INDEPENDENCE CENTER, INC. (NPI 1174709810) is a healthcare organization registered as a community/behavioral health in Waukegan, Illinois and active in the NPI registry since January 2008. The organization lists Lisa Johnson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1174709810
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameINDEPENDENCE CENTER, INC.
Location Address2025 WASHINGTON STWaukegan, IL 60085-5131
Mailing Address2025 Washington StWaukegan, IL 60085-5131 · (847) 360-1020 · Fax (847) 360-1065
Phone(847) 360-1020
Fax(847) 360-1065
Organization SubpartNo
Authorized OfficialLisa JohnsonExecutive Director · (847) 360-1020
Enumeration DateJanuary 11, 2008
Last NPPES UpdateNovember 4, 2016
✔ NPI 1174709810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCase ManagementTaxonomy 251B00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
2025 WASHINGTON ST, Waukegan, IL 60085
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Other Identifiers 2

OtherIL6331Medicare Ptan
Medicare PIN144643

Accepted Insurance

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JESSICA BETH BERG B.A., MHP
Social Worker
2025 WASHINGTON ST
WAUKEGAN, IL 60085
Lake County (847) 360-1020
JULYANNIE ORELLANO-RODRIGUEZ
Case Manager/Care Coordinator
2025 WASHINGTON ST
WAUKEGAN, IL 60085
Lake County (847) 360-1020
MILES WELLS
Case Manager/Care Coordinator
2025 WASHINGTON ST
WAUKEGAN, IL 60085
Lake County (847) 360-1020
MRS. JENNIFER SAMANTHA SCHWARTZ MAC
Counselor (Mental Health)
2025 WASHINGTON ST
WAUKEGAN, IL 60085
Lake County (847) 360-1020
MICHAELA YOUNG
Social Worker
2025 WASHINGTON ST
WAUKEGAN, IL 60085
Lake County (847) 360-1020
TASHARICK HELEN SMITH
Case Manager/Care Coordinator
2025 WASHINGTON ST
WAUKEGAN, IL 60085
Lake County (847) 360-1065
MR. FRITZ G GELIN CADC
Counselor (Professional)
2025 WASHINGTON ST
WAUKEGAN, IL 60085
Lake County (847) 360-1020
MR. EUGENE CARROLL MARCERON JR. LCSW
Social Worker (Clinical)
2025 WASHINGTON ST
WAUKEGAN, IL 60085
Lake County (847) 360-1020

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 Independence Center, Inc.'s NPI number?

The NPI number for Independence Center, Inc. is 1174709810. It was assigned to this organization in the NPPES registry on January 11, 2008.

Where is Independence Center, Inc. located?

Independence Center, Inc. is located at 2025 Washington St, Waukegan, IL 60085. The listed phone number is (847) 360-1020.

What is Independence Center, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

What insurance does Independence Center, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Independence Center, Inc. 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 Independence Center, Inc. was last updated on November 4, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.