Lifehouse Behavioral Health, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

LIFEHOUSE BEHAVIORAL HEALTH, LLC

Doing business as

LifeHouse Behavioral Health

Practice address

12761 Western Ave
Blue Island, IL 60406-2141

Phone

(708) 897-8581

NPI assigned

Apr 7, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Edward Walsh, NCRS, MBA

Title

Ceo

Phone

(312) 451-5996

Specialties & licenses 2

Addresses

Other names 1

• LifeHouse Behavioral Health Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1972298792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12761 WESTERN AVE",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604062141",
            "telephone_number": "708-897-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12761 WESTERN AVE",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604062141",
            "telephone_number": "708-897-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEHOUSE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-451-5996",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NCRS, MBA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeHouse Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LifeHouse Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elissa Kurz
• Brenda Lee Langford, MSN, APRN, FNP-C
• Leo W Lavender
• Carrie L Lewis, CNA
• Christel Lewis
• Lifehouse Bridge Group, LLC
• Lifehouse Group, LLC
• Jeffrey Lin, MD
• Martin Francis Lowery, D.D.S.
• Lutheran Social Services of Illinois

• Substance Use Disorder Rehabilitation Clinic/Center in Blue Island, IL
• Providers in Blue Island, 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 Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.