GUARDIAN LIGHTHOUSE, LTD
NPI 1487104667
Counselor - Professional in Libertyville, IL

NPI Status: Active since October 11, 2016

Contact Information

150 E COOK AVE
SUITE 105
LIBERTYVILLE, IL
ZIP 60048
Phone: (847) 971-3579

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  • Organization
  • Counselor
  • Professional

About GUARDIAN LIGHTHOUSE, LTD

This page provides the complete NPI Profile along with additional information for Guardian Lighthouse, Ltd, a provider established in Libertyville, Illinois operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1487104667 assigned on October 2016. The practitioner's primary taxonomy code is 101YP2500X with license number 180005697 (IL). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Guardian Lighthouse, Ltd. The authorized official of this NPI record is Ryan T Porter Lcpc (Ownere)

NPI
1487104667
Provider Legal Name
RYAN T PORTER
Other Organization Name
GUARDIAN LIGHTHOUSE, LTD
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
150 E COOK AVE SUITE 105 LIBERTYVILLE, IL 60048
Location Phone
(847) 971-3579
Mailing Address
513 DEER CROSSING CT HAINESVILLE, IL 60030
Mailing Phone
(847) 971-3579
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-11-2016
Last Update Date
10-11-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
180005697
License State
IL

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RYAN T PORTER LCPC

Authorized Official Title
OWNERE
Authorized Official Phone
(847) 971-3579

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487104667
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24167208612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 2 + 0 + 8 + 6 + 1 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1487104667 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306923511MR. EDWARD D. ZEHR MSW
Individual
Social Worker (Clinical)150 E COOK AVE
LIBERTYVILLE, IL 60048
(847) 680-8750
1063562189MRS. DANIELLE L GAFFKE LCSW
Individual
Social Worker (Clinical)150 E COOK AVE SUITE 105
LIBERTYVILLE, IL 60048
(919) 285-8417
1669939963 SHANNON MARIE CAGLE LPC
Individual
Counselor (Professional)150 E COOK AVE STE 100
LIBERTYVILLE, IL 60048
(847) 816-6335
1114580446MRS. DARLENE MARY HOLOP RDN
Individual
Nutritionist150 E COOK AVE
LIBERTYVILLE, IL 60048
(847) 525-8200
1093900771 VIJAYTA G BANSAL-KAPURIA MD
Individual
Psychiatry & Neurology (Neurology)150 E COOK AVE SUITE 100
LIBERTYVILLE, IL 60048
(847) 816-6335

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487104667, enumerated in the NPI registry as an "organization" on October 11, 2016

The provider is located at 150 E Cook Ave Suite 105 Libertyville, Il 60048 and the phone number is (847) 971-3579

This medical organization specializes in Counselor with taxonomy code 101YP2500X with a focus in Professional

This NPI record was last updated on October 11, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.