Samantha Lee Hoover Marcellis, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180010786 Issued in IL

Practice address

13707 W Jackson St
Woodstock, IL 60098-3188

Phone

(815) 759-7048

NPI assigned

Jan 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Action Consulting and Therapy, PLLC

  • Clinical Social Worker
  • Geneva, IL
  • NPI 1730575184
  NPD (past)

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

{
    "created_epoch": "1515196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1265949630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 MICHAEL ST",
            "city": "WONDER LAKE",
            "state": "IL",
            "postal_code": "600978538",
            "telephone_number": "847-971-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13707 W JACKSON ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983188",
            "telephone_number": "815-759-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELLIS",
        "first_name": "SAMANTHA",
        "middle_name": "LEE HOOVER",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-06",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Makowski, PMHNP
• Kimberly J Malczynski, LCPC
• Malgorzata Helena Malesa, OTR/L
• Jennifer Maple
• Bonnie E. Marable, PH.D.
• Lori March
• Amber Marcussen
• Elena Margan, LCSW
• Lynda A Markut, M.S.
• Marlow Med Supply LLC

• Professional Counselor in Woodstock, IL
• Providers in Woodstock, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.