Lifeline Counseling Center Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

LIFELINE COUNSELING CENTER INC

Practice address

1655 N Arlington Heights Rd Ste 301W
Arlington Heights, IL 60004-3900

Phone

(847) 626-5001

NPI assigned

Jan 7, 2025

Organization subpart

No

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

Authorized official

Name

Brendan Wagner

Title

Managing Director

Phone

(773) 554-5041

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1679382204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 N THORNWOOD DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505031",
            "telephone_number": "847-626-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 N ARLINGTON HEIGHTS RD STE 301W",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043900",
            "telephone_number": "847-626-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "773-554-5041"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Kozak Liem, NP
• Brek Lienhart, PSY.D. LCPC
• Caitlyn Lierman, MSW
• Life Counseling Center Inc
• Life Mobility Solutions
• Lifespan Medical Associates LLC
• Light Side Therapy LLC
• Lighthouse Consulting Services of Illinois Inc. (The Lighthouse Emotional Wellness Center)
• Diane Liigsoo, PT
• Dimitry Likterev, DC

• Substance Use Disorder Rehabilitation Clinic/Center in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.