COUNTY OF LAKE
NPI 1811109184
Substance Abuse Rehabilitation Facility in Waukegan, IL

Active since May 07, 2007
3002 GRAND AVE, WAUKEGAN, IL 60085(847) 377-8200(847) 360-3185 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 31, 2026, Sep 10, 2024 (2 updates tracked since 2024).

About County Of Lake NPPES

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

COUNTY OF LAKE (NPI 1811109184), doing business as Lake County Health Department And Community Health Center, is a healthcare organization registered as a substance abuse rehabilitation facility in Waukegan, Illinois and active in the NPI registry since May 2007. The organization lists Sam Johnson, Deputy Executive Director, as its authorized official.

NPPES Registry Identity

NPI1811109184
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCOUNTY OF LAKE
Location Address3002 GRAND AVEWaukegan, IL 60085-2321
Mailing Address3010 Grand AveWaukegan, IL 60085-2321 · (847) 377-8180 · Fax (847) 336-1517
Fax(847) 360-3185
Organization SubpartNo
Authorized OfficialSam JohnsonDeputy Executive Director · (847) 377-8000
Enumeration DateMay 7, 2007
Last NPPES UpdateAugust 31, 20262 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1811109184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
3002 GRAND AVE, Waukegan, IL 60085

Other Names 1

Doing Business AsLake County Health Department And Community Health Center

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

County Of Lake is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

151

Medicare enrollment records show 151 clinicians reassign Medicare billing to County Of Lake, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 60 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 18

Nurse Practitioner46
Mental Health Counselor17
Clinical Social Worker16
Psychiatry16
Family Practice12
Pediatric Medicine12
Oral Surgery8
Internal Medicine5
10 other specialties19

Nearest to this location (20)

See all 151
Clinical Social Worker
NPI 1518478635
3002 GRAND AVE
Waukegan, IL 60085
(847) 377-8200
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1467904870
3002 GRAND AVE
Waukegan, IL 60085
(847) 377-8245
✔ PECOSSame address
Clinical Social Worker
NPI 1669730198
3004 GRAND AVE
Waukegan, IL 60085
(847) 377-8120
✔ PECOSSame address
Infectious Disease
NPI 1497985980
3010 GRAND AVE
Waukegan, IL 60085
(847) 377-8130
✔ PECOS✔ Accepts Medicare0.2 mi
Clinical Social Worker
NPI 1356840029
3010 GRAND AVE
Waukegan, IL 60085
(847) 377-8296
✔ PECOS0.2 mi
Clinical Social Worker
NPI 1871964197
3010 GRAND AVE
Waukegan, IL 60085
(847) 377-8173
✔ PECOS0.2 mi
Mental Health Counselor
NPI 1619469657
3010 GRAND AVE
Waukegan, IL 60085
(224) 343-6128
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1073318358
3010 GRAND AVE
Waukegan, IL 60085
(847) 377-8800
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1114367562
3010 GRAND AVE
Waukegan, IL 60085
(847) 377-8800
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1003310269
3010 GRAND AVE
Waukegan, IL 60085
(847) 377-8800
✔ PECOS✔ Accepts Medicare0.2 mi
Mental Health Counselor
NPI 1962988196
3010 GRAND AVE
Waukegan, IL 60085
(847) 377-8296
✔ PECOS0.2 mi
Clinical Social Worker
NPI 1083775597
3010 GRAND AVE
Waukegan, IL 60085
(847) 377-8971
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1841636503
3010 GRAND AVE
Waukegan, IL 60085
(847) 377-8950
✔ PECOS✔ Accepts Medicare0.2 mi
Mental Health Counselor
NPI 1952987216
3010 GRAND AVE
Waukegan, IL 60085
(847) 377-8000
✔ PECOS✔ Accepts Medicare0.2 mi
Psychiatry
NPI 1487760195
3010 GRAND AVE CHILD AND ADOLESCENT BEHAVIORAL SERVICES
Waukegan, IL 60085
(847) 377-8950
✔ PECOS0.2 mi
Dentist
NPI 1154446318
3010 GRAND AVE
Waukegan, IL 60085
(847) 377-8604
✔ PECOS0.2 mi
Family Practice
NPI 1831352038
3010 GRAND AVE
Waukegan, IL 60085
(847) 377-8180
✔ PECOS✔ Accepts Medicare0.2 mi
Psychiatry
NPI 1609895515
3012 GRAND AVE
Waukegan, IL 60085
(847) 377-8180
✔ PECOS0.2 mi
Psychiatry
NPI 1023033610
3012 GRAND AVE
Waukegan, IL 60085
(847) 377-8180
✔ PECOS0.2 mi
Family Practice
NPI 1346449527
3210 GRAND AVE
Waukegan, IL 60085
(847) 220-4103
✔ PECOS✔ Accepts Medicare0.3 mi
See all 151 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 County Of Lake's NPI number?

The NPI number for County Of Lake is 1811109184. It was assigned to this organization in the NPPES registry on May 7, 2007. 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 3002 Grand Ave, Waukegan, IL 60085. The listed phone number is (847) 377-8200.

What is County Of Lake's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Is County Of Lake enrolled in Medicare?

Yes. County Of Lake is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through County Of Lake?

According to the CMS Revalidation Reassignment List (October 2026 release), 151 clinicians in 18 Medicare specialties reassign their Medicare billing to County Of Lake. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (46), Mental Health Counselor (17) and Clinical Social Worker (16). Of these, 3 practice at this address and 60 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does County Of Lake accept?

Health plans from Ambetter Health list County Of Lake 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 County Of Lake was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.