Individual provider Active NPI

Samantha Schroll, LPC

  • Mental Health Counselor
  • Palatine, IL
National Provider Identifier
1003525296
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.015040 Issued in IL
Practice address
721 S Quentin Rd Ste 103
Palatine, IL 60067-6778
Phone
(847) 485-7490
NPI assigned
Nov 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.016266 IL
Mental Health Counselor 101YM0800X 178.015040 IL Primary

Addresses

Primary practice location

721 S Quentin Rd Ste 103
Palatine, IL 60067-6778

Mailing address

721 S Quentin Rd Ste 103
Palatine, IL 60067-6778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178.015040ILMDMental Health Counselor
180.016266ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge Youth & Family Services CurrentSince Nov 20, 2022 Accepting new patients
Bridge Youth & Family Services PastSince Nov 20, 2022 Accepting new patients

Locations

721 S Quentin Rd
Ste 103
Palatine, IL 60067
Phone (847) 359-7490

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1003525296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 S QUENTIN RD STE 103",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600676778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S QUENTIN RD STE 103",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600676778",
            "telephone_number": "847-485-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROLL",
        "first_name": "SAMANTHA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.016266",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.015040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.