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GUARDIAN LIGHTHOUSE, LTD
NPI 1487104667
Counselor - Professional in Libertyville, IL

Active since October 11, 2016
150 E COOK AVE, SUITE 105, LIBERTYVILLE, IL 60048(847) 971-3579 Get Directions Write a Review

NPPES record last updated: October 11, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Guardian Lighthouse, Ltd NPPES

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

GUARDIAN LIGHTHOUSE, LTD (NPI 1487104667) is a healthcare organization registered as a professional in Libertyville, Illinois and active in the NPI registry since October 2016. The organization lists Ryan T Porter, Ownere, as its authorized official.

NPPES Registry Identity

NPI1487104667
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameRYAN T PORTER
Location Address150 E COOK AVE, SUITE 105Libertyville, IL 60048-2060
Mailing Address513 Deer Crossing CtHainesville, IL 60030-3855 · (847) 971-3579
Phone(847) 971-3579
Organization SubpartNo
Authorized OfficialRyan T PorterOwnere · (847) 971-3579
Enumeration DateOctober 11, 2016
✔ NPI 1487104667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180005697
150 E COOK AVE, Libertyville, IL 60048
Open in Google Maps ↗

Other Names 1

Doing Business AsGuardian Lighthouse, Ltd

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

MRS. DANIELLE L GAFFKE LCSW
Social Worker (Clinical)
150 E COOK AVE, SUITE 105
LIBERTYVILLE, IL 60048
Lake County (919) 285-8417
VIJAYTA G BANSAL-KAPURIA MD
Psychiatry & Neurology (Neurology)
150 E COOK AVE, SUITE 100
LIBERTYVILLE, IL 60048
Lake County (847) 816-6335
MRS. DARLENE MARY HOLOP RDN
Nutritionist
150 E COOK AVE
LIBERTYVILLE, IL 60048
Lake County (847) 525-8200
MR. EDWARD D. ZEHR MSW
Social Worker (Clinical)
150 E COOK AVE
LIBERTYVILLE, IL 60048
Lake County (847) 680-8750

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 Ryan T Porter's NPI number?

The NPI number for Ryan T Porter is 1487104667. It was assigned to this organization in the NPPES registry on October 11, 2016. The provider is doing business as Guardian Lighthouse, Ltd.

Where is Ryan T Porter located?

Ryan T Porter is located at 150 E Cook Ave Suite 105, Libertyville, IL 60048. The listed phone number is (847) 971-3579.

What is Ryan T Porter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Ryan T Porter was last updated on October 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.