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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: October 25, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.