Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Guardian Lighthouse

Organization Addiction (Substance Use Disorder) Counselor · NPI 1164793840

Guardian Lighthouse is an Addiction (Substance Use Disorder) Counselor in Glen Ellyn, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
Specialties on file
4

Practice location Address checks out

460 N Main St Ste 205
Glen Ellyn, IL 60137-5176
Phone: (847) 613-4626
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 180005697 (IL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 22184 (IL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 22773 (IL)
Mental Health Counselor Taxonomy 101YM0800X · Licence 180005201 (IL)

Record details

NPI number1164793840
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Porter — President/Ceo · (847) 613-4626
Other names Guardian Youth And Family Counseling
NPI enumeratedJanuary 26, 2012
Last updated in NPPESJanuary 26, 2012
Mailing addressPo Box 6181, Vernon Hills, IL 60061-6181

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