ISAAC WILLIAM SAMUELSON
Counselor

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

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
Gender Male
Credential LPC
Practice Address 3058 W Cortland St Apt 2
Chicago
IL 60647-5075
Practice Telephone 4046610945
Mailing Address 3058 W Cortland St Apt 2
Chicago
IL 60647-5075
Mailing Telephone 4046610945
Certification Date 2020-07-16
Enumeration Date 2020-07-16
Last Update Date 2020-07-16
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
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 prefix

NPI Name Taxonomy Address Enumeration
1003424458 Emily Gleesing Physical Therapist 1923 N Western Ave, Chicago, IL 60647 2020-07-21
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1639625437 Modern Dental of Logan Square LLC Dentist - General Practice 2645 N Milwaukee, Chicago, IL 60647 2016-08-31
1275124422 Esther Liana Ellis Dietitian, Registered 2122 N Stave Street Apt 2, Chicago, IL 60647 2021-01-31
1528413945 Victory Rx, Inc · Local Health Pharmacy Pharmacy 2545 W. Diversey Ave Ste. 104, Chicago, IL 60647 2016-05-04
1942704580 Team Rehabilitation Il15, LLC Physical Therapist 1923 N Western Avenue, Chicago, IL 60647 2018-03-20
1669843348 Rebecca Goldstein Physical Therapy Assistant 3615 W. Altgeld St, Chicago, IL 60647 2015-10-07
1407302110 Jasmine Swanigan Home Health Aide 2753 W North Ave, Floor 3, Chicago, IL 60647 2016-09-01
1699301358 Marcella Guzman P.C. Dentist - General Practice 3236 W. Fullerton Ave., Chicago, IL 60647 2020-03-13
1740772342 Envision Unlimited · Washtenaw, 3n Case Management 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 2018-05-31
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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
1447820766 Nicole Glass Counselor 420 E Ohio St Apt 14c, Chicago, IL 60611-4651 2021-06-29
1093385569 Keila Pope Counselor 3708 N Ashland Ave, Chicago, IL 60613-5272 2021-06-28
1790352888 Rebecca Ebben Counselor 1616 N Damen Ave Ste 301, Chicago, IL 60647-5536 2021-06-07
1912573494 Elizabeth Quinn Davis Counselor 155 N Michigan Ave Ste 444, Chicago, IL 60601-7511 2021-06-03
1285209098 Charlene Mack Counselor 47 W Division St Ste 211, Chicago, IL 60610-2954 2021-05-24
1033793757 Traci Patterson Lcpc Cadc Pllc · Intuitive Therapy Chicago Counselor 203 N La Salle St Ste 2100, Chicago, IL 60601-1226 2021-05-09
1013590215 Falechia N Turman Counselor 5080 N Elston Ave, Chicago, IL 60630-2459 2021-05-04
1538741780 Jameelah Brown-Williams Counselor 2500 W 111th St Apt 1s, Chicago, IL 60655-1301 2021-04-27
1457937542 Jamila Ford Counselor 5425 W Van Buren St, Chicago, IL 60644-4745 2021-03-20
1124603857 Liana Ramon Counselor 1525 E 53rd St Ste 1009, Chicago, IL 60615-4547 2021-03-15
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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.