LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER
NPI 1477036507
Clinic/Center - Mental Health (Including Community Mental Health Center) in Libertyville, IL
About Lake County Health Department And Community Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER (NPI 1477036507) is a healthcare organization registered as a mental health (including community mental health center) in Libertyville, Illinois and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through February 18, 2027 and lists Mark Pfister, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D1103009
Lake County Health Dept - Community Health Center · Waukegan, ILFrequently 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 County Of Lake's NPI number?
The NPI number for County Of Lake is 1477036507. It was assigned to this organization in the NPPES registry on September 14, 2018. The provider is doing business as Lake County Health Department And Community Health Center.
Where is County Of Lake located?
County Of Lake is located at 18736 W Peterson Rd, Libertyville, IL 60048. The listed phone number is (847) 377-8510.
What is County Of Lake's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Does County Of Lake hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D1103009) is associated with this NPI, valid through February 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for County Of Lake was last updated on September 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Lake County Health Department And Community Health Center · NPI 1477036507
Mental Health (Including Community Mental Health Center) organization in Libertyville, Illinois. Organization record, active in the CMS NPPES registry since September 14, 2018.
## Identity
- **NPI:** 1477036507 (Entity type: Organization)
- **Enumerated:** September 14, 2018
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Legal business name:** County Of Lake
- **Organization subpart:** No
- **Authorized official:** Mark Pfister, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 18736 W PETERSON RD, Libertyville, IL 60048-1064
- **Phone:** (847) 377-8510
## Record status
- **NPPES last updated:** September 14, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477036507) · Data from the CMS NPPES public registry.