NPIMap

Organization Active NPI

Lake County Crisis Center for the Prevention and Treatment of Domestic

  • Community/Behavioral Health Agency
  • Lake Forest, IL
National Provider Identifier
1801663240
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LAKE COUNTY CRISIS CENTER FOR THE PREVENTION AND TREATMENT OF DOMESTIC
Practice address
400 E Illinois Rd
Lake Forest, IL 60045-2355
Phone
(847) 731-7165
NPI assigned
Dec 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Pat Davenport
Title
Ceo
Phone
(847) 731-7165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

400 E Illinois Rd
Lake Forest, IL 60045-2355

Mailing address

2710 17TH St
Zion, IL 60099-1543
Phone (847) 731-7165

Other names 1

  • A Safe Place Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A Safe Place5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

400 E Illinois Rd
Lake Forest, IL 60045
Phone (847) 731-7165

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1801663240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 17TH ST",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600991543",
            "telephone_number": "847-731-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E ILLINOIS RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452355",
            "telephone_number": "847-731-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTY CRISIS CENTER FOR THE PREVENTION AND TREATMENT OF DOMESTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-731-7165"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Safe Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.