Lake County Health Department

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

180.007494 Issued in IL

Legal business name

LAKE COUNTY HEALTH DEPARTMENT

Practice address

3010 Grand Ave
Waukegan, IL 60085-2321

Phone

(847) 377-8974

Fax

(847) 377-8803

NPI assigned

Sep 8, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Shawna Lynn Pfister, LCPC

Title

Senior Therapist

Phone

(262) 497-0799

Specialties & licenses 1

Addresses

Other names 1

• LCHD Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1629359302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 GRAND AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852321",
            "telephone_number": "847-377-8974",
            "fax_number": "847-377-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 GRAND AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852321",
            "telephone_number": "847-377-8974",
            "fax_number": "847-377-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "PFISTER",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SENIOR THERAPIST",
        "authorized_official_telephone_number": "262-497-0799",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180.007494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LCHD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob Charles Laird, PHARMD,R.PH
• Lake County Child Adolescent Behavioral Services
• Lake County Crisis Center for the Prevention and Treatment of Domestic
• Lake County Health Department
• Lake County Health Department
• Lake County Health Department
• Lake County Health Department
• Lake County Health Dept
• Lake County Health Dept.
• Lake County Immediate Care, LLC

• All providers in Waukegan, IL
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.