Active NPI
Isaac William Samuelson, LPC
- Counselor
- Chicago, IL
National Provider Identifier
1184232183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 178.015973
- Practice address
- 5300 N Sheridan Rd Apt 410
Chicago, IL 60640-2509 - Phone
- (404) 661-0945
- NPI assigned
- Jul 16, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178.015973 | IL | Primary |
Addresses
Primary practice location
5300 N Sheridan Rd Apt 410
Chicago, IL 60640-2509
Mailing address
5300 N Sheridan Rd Apt 410
Chicago, IL 60640-2509
Phone (404) 661-0945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.015973 | IL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1184232183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 N SHERIDAN RD APT 410",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606402509",
"telephone_number": "404-661-0945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 N SHERIDAN RD APT 410",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606402509",
"telephone_number": "404-661-0945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUELSON",
"first_name": "ISAAC",
"middle_name": "WILLIAM",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-16",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178.015973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.