ISAAC WILLIAM SAMUELSON


Address: 3058 W Cortland St Apt 2, Chicago, IL 60647-5075
Phone: 4046610945

ISAAC WILLIAM SAMUELSON (NPI# 1184232183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184232183
Entity Type Individual
Full Name ISAAC WILLIAM SAMUELSON
Credential LPC
Practice Address 3058 W Cortland St Apt 2
Chicago
IL 60647-5075
Practice Telephone 4046610945
Mailing Telephone 4046610945
Enumeration Date 2020-07-16
Last Update Date 2020-07-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 178.015973 IL Behavioral Health & Social Service Providers

Office Location

Street Address 3058 W CORTLAND ST APT 2
City CHICAGO
State IL
Zip Code 60647-5075

Providers in the same zip code

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1164035879 Scott Spine and Health LLC Chiropractor 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 2020-08-24
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1740772342 Envision Unlimited Case Management 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 2018-05-31
1992297535 Envision Unlimited Case Management 2646 N Washtenaw Ave # 2n, Chicago, IL 60647 2018-05-30
1942704580 Team Rehabilitation Il15, LLC Physical Therapist 1923 N Western Avenue, Chicago, IL 60647 2018-03-20
1023517331 Chicago Medical Healthcare Group, S.c. Family Medicine 3648 W Armitage Avenue, Chicago, IL 60647 2018-02-02
1023537693 Erin Frommeyer Physician Assistant 2228 W Dickens Avenue, Chicago, IL 60647 2017-09-15
1457872475 Stefanie Paola Maurtua Behavioral Analyst 2448 West Bloomingdale Ave., Apt 2e, Chicago, IL 60647 2017-06-29
1700322922 Lumen Optical Illinois 4, LLC Optometrist 2420 N Elston, Bucktown, IL 60647 2017-01-11
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366058075 Allyssa Rose Bertram Counselor 4055 W Peterson Ave Ste 202, Chicago, IL 60646-6183 2020-09-17
1952914707 Tara Ufer Counselor 400 W Deming Pl Apt 9g, Chicago, IL 60614-1702 2020-08-30
1104439694 Alisa Williams Counselor 409 E 62nd St, Chicago, IL 60637-6097 2020-08-25
1730791492 Forward Intentions Therapy LLC Counselor 1309 N Ashland Ave, Chicago, IL 60622-8744 2020-08-23
1346861242 Hannah Conner Counselor 2756 N Pine Grove Ave Apt 705, Chicago, IL 60614-6167 2020-05-01
1881215804 Pamela Ann Brazelton-sykes Counselor Pioneer Gardens Supportive Living, 3800 S King Dr, Chicago, IL 60653 2020-04-30
1619597259 Charles Chevell Hurt Counselor 1606 W Wallen Ave Apt 1, Chicago, IL 60626-6592 2020-04-23
1851911580 Jessica C Baran Counselor 5200 S Blackstone Ave Apt 401, Chicago, IL 60615-6011 2020-04-22
1659907350 Lauren Graner Counselor 2845 N Sheridan Rd # 708, Chicago, IL 60657-7227 2020-03-14
1255966784 Three Raven Counseling, LLC Counselor 5215 N Ravenswood Ave Ste 312, Chicago, IL 60640-1670 2020-03-05
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Competitor

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City CHICAGO
Zip Code 60647

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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