LAKE HARBOR BEHAVIORAL HEALTH, LLC
NPI 1801723820
Psychiatric Residential Treatment Facility in Gurnee, IL

Active since May 05, 2026CLIA 14D2351892 · Waiver
3915 W OGLESBY AVE, GURNEE, IL 60031(772) 404-7642(772) 303-3434 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Lake Harbor Behavioral Health, Llc NPPES

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

LAKE HARBOR BEHAVIORAL HEALTH, LLC (NPI 1801723820) is a healthcare organization registered as a psychiatric residential treatment facility in Gurnee, Illinois and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through October 5, 2028 and lists Christopher Hall, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1801723820
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameLAKE HARBOR BEHAVIORAL HEALTH, LLC
Location Address3915 W OGLESBY AVEGurnee, IL 60031-3358
Mailing Address3915 W Oglesby AveGurnee, IL 60031-3358 · (772) 404-7642 · Fax (772) 303-3434
Fax(772) 303-3434
Organization SubpartNo
Authorized OfficialChristopher HallDirector Of Billing · (772) 240-6190
Enumeration DateMay 5, 2026
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1801723820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
3915 W OGLESBY AVE, Gurnee, IL 60031

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 14D2351892

Lake Harbor Behavioral Health LLC · Gurnee, IL
Active · expires Oct 5, 2028
CLIA Number14D2351892
Laboratory TypeSubstance Use Treatment
Certificate Effective DateOctober 6, 2026
Certificate Expiration DateOctober 5, 2028
Laboratory DirectorNicole L. Hamer
Laboratory Phone(239) 888-4190
Laboratory LocationLake Harbor Behavioral Health LLC3915 Oglesby Ave, Gurnee, IL 60031
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Harbor Behavioral Health, LLC's NPI number?

The NPI number for Lake Harbor Behavioral Health, LLC is 1801723820. It was assigned to this organization in the NPPES registry on May 5, 2026.

Where is Lake Harbor Behavioral Health, LLC located?

Lake Harbor Behavioral Health, LLC is located at 3915 W Oglesby Ave, Gurnee, IL 60031. The listed phone number is (772) 404-7642.

What is Lake Harbor Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Does Lake Harbor Behavioral Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2351892) is associated with this NPI, valid through October 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lake Harbor Behavioral Health, LLC was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.