Individual provider Active NPI

Samantha Nolan

  • Professional Counselor
  • Naperville, IL
National Provider Identifier
1295311397
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.016828 Issued in IL
Practice address
1300 Iroquois Ave Ste 145
Naperville, IL 60563-1389
Phone
(630) 797-9192
NPI assigned
Mar 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.016828 IL Primary

Addresses

Primary practice location

1300 Iroquois Ave Ste 145
Naperville, IL 60563-1389

Mailing address

1979 N Mill St Ste 202
Naperville, IL 60563-8472

Other practice location 1

9875 W Lincoln Hwy Ste 104
Frankfort, IL 60423-1934
Phone (630) 281-2496

Other practice location 2

1979 N Mill St Ste 202
Naperville, IL 60563-8472
Phone (630) 281-2496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251013002169 IL Practitioner - Mental Health Counselor 5294222428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sookh PLLCGroup PAC ID 1658758123, 4 clinicians

Practice addresses (Care Compare)

1761 S Naperville Rd
Suite 103
Wheaton, IL 60189-5846
Phone (630) 635-0577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.016828ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sookh PLLC CurrentSince Aug 2, 2025 Accepting new patients

Locations

1761 S Naperville Rd
Ste 103
Wheaton, IL 60189
Phone (630) 635-0577

Organizations & group practices 1

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": "1616198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1295311397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 N MILL ST STE 202",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 IROQUOIS AVE STE 145",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631389",
            "telephone_number": "630-797-9192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9875 W Lincoln Hwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IL",
            "postal_code": "604231934",
            "country_code": "US",
            "telephone_number": "630-281-2496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1979 N Mill St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605638472",
            "country_code": "US",
            "telephone_number": "630-281-2496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-20",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.016828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.