Active NPI
County of Lake
Doing business as Lake County Health Department and Community Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waukegan, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- COUNTY OF LAKE
- Doing business as
- Lake County Health Department and Community Health Center
- Practice address
- 3002 Grand Ave
Waukegan, IL 60085-2321 - Phone
- (847) 377-8273
- Fax
- (847) 360-7377
- NPI assigned
- May 7, 2007
- Last updated
- Aug 31, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sam Johnson
- Title
- Deputy Executive Director
- Phone
- (847) 377-8000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | IL |
Addresses
Primary practice location
3002 Grand Ave
Waukegan, IL 60085-2321
Mailing address
3010 Grand Ave
Waukegan, IL 60085-2321
Phone (847) 377-8180
Other names 1
- Lake County Health Department and Community Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040116000192 | IL | Part B Supplier - Clinic/Group Practice | 7214838861 |
Receives reassigned benefits from 148 practitioners 24 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Waukegan, IL; Zion, IL; Vernon Hills, IL; Round Lake Park, IL; Round Lake Beach, IL; Round Lake, IL; Park City, IL; North Chicago, IL… |
Other NPIs on the same Medicare enrollment 24
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Lake County Health Department and Community Health Center
- Public Health or Welfare Agency
- Waukegan, IL
- NPI 1013920750
O20040116000192
-
dba Lake County Health Department and Community Health Center
- Federally Qualified Health Center (FQHC)
- Zion, IL
- NPI 1023047164
O20040116000192
-
dba Lake County Health Department and Community Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waukegan, IL
- NPI 1053623637
O20040116000192
-
dba Lake County Health Department and Community Health Center
- Federally Qualified Health Center (FQHC)
- North Chicago, IL
- NPI 1083643118
O20040116000192
-
dba Lake County Health Department and Community Health Center
- Federally Qualified Health Center (FQHC)
- Waukegan, IL
- NPI 1174552293
O20040116000192
-
dba Lake County Health Department and Community Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waukegan, IL
- NPI 1174745160
O20040116000192
-
dba Lake County Health Department and Community Health Center
- Federally Qualified Health Center (FQHC)
- Waukegan, IL
- NPI 1235453309
O20040116000192
-
dba Lake County Health Department and Community Health Center
- Public Health or Welfare Agency
- Waukegan, IL
- NPI 1255342457
O20040116000192
-
dba Lake County Health Department and Community Health Center
- Federally Qualified Health Center (FQHC)
- Highland Park, IL
- NPI 1285663328
O20040116000192
-
dba Lake County Health Department and Community Health Center
- Federally Qualified Health Center (FQHC)
- Waukegan, IL
- NPI 1376717702
O20040116000192
-
dba Lake County Health Department and Community Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waukegan, IL
- NPI 1477765741
O20040116000192
-
dba Lake County Health Dept and Community Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Zion, IL
- NPI 1538380647
O20040116000192
National Provider Directory
National Provider Directory- Tax ID family
- Lake County Health Department
Other organizations with this tax ID 47
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Lake County Health Department and Community Health Center
- Public Health or Welfare Agency
- Waukegan, IL
- NPI 1013920750
-
dba Lake County Health Department and Community Health Center
- Federally Qualified Health Center (FQHC)
- Zion, IL
- NPI 1023047164
-
dba Lake County Health Department and Community Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waukegan, IL
- NPI 1053623637
-
dba Lake County Health Department and Community Health Center
- Federally Qualified Health Center (FQHC)
- North Chicago, IL
- NPI 1083643118
-
dba Lake County Health Department and Community Health Center
- Federally Qualified Health Center (FQHC)
- Waukegan, IL
- NPI 1174552293
-
dba Lake County Health Department and Community Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waukegan, IL
- NPI 1174745160
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Park City, IL
- NPI 1194638940
-
dba Lake County Health Department and Community Health Center
- Federally Qualified Health Center (FQHC)
- Waukegan, IL
- NPI 1235453309
-
dba Lake County Health Department and Community Health Center
- Public Health or Welfare Agency
- Waukegan, IL
- NPI 1255342457
-
dba Lake County Health Department and Community Health Center
- Federally Qualified Health Center (FQHC)
- Highland Park, IL
- NPI 1285663328
-
dba Lake County Health Department and Community Health Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Waukegan, IL
- NPI 1356888515
-
dba Nineteenth Judicial Circuit
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Vernon Hills, IL
- NPI 1417243288
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Waukegan, IL
- NPI 1528349636
-
- Professional Counselor
- Waukegan, IL
- NPI 1619469657
-
- Nurse Practitioner
- Evanston, IL
- NPI 1437494630
-
- Clinical Social Worker
- Waukegan, IL
- NPI 1083775597
-
- Psychiatric/Mental Health Nurse Practitioner
- Waukegan, IL
- NPI 1023681434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788134400000",
"number": "1821200197",
"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": "847-377-8180",
"fax_number": "847-336-1517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3002 GRAND AVE",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600852321",
"telephone_number": "847-377-8273",
"fax_number": "847-360-7377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF LAKE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "DEPUTY EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "847-377-8000"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lake County Health Department and Community Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Waukegan, IL
- County of Lake (Lake County Health Department and Community Health Center)
- County of Lake (Lake County Health Department and Community Health Center)
- County of Lake (Lake County Health Department and Community Health Center)
- County of Lake (Lake County Health Department/Community Health Center)
- County of Lake (Lake County Health Department and Community Health Center)
- County of Lake
- County of Lake (Lake County Health Department and Community Health Center)
- County of Lake (Lake County Health Department/Community Health Center)
- Carol Jean Craig, MA
- Quanesha L Crawford
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.