Active NPI
Samantha Jo Schulz, LPC
- Professional Counselor
- Joliet, IL
National Provider Identifier
1417534629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.016744
- Practice address
- 210 N Hammes Ave Ste 204
Joliet, IL 60435-8139 - Phone
- (815) 722-4384
- NPI assigned
- Mar 24, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.016744 | IL | Primary |
Addresses
Primary practice location
210 N Hammes Ave Ste 204
Joliet, IL 60435-8139
Mailing address
1229 Grant St
Morris, IL 60450-1532
Phone (773) 558-8000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 178.016744 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1417534629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 GRANT ST",
"city": "MORRIS",
"state": "IL",
"postal_code": "604501532",
"telephone_number": "773-558-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N HAMMES AVE STE 204",
"city": "JOLIET",
"state": "IL",
"postal_code": "604358139",
"telephone_number": "815-722-4384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULZ",
"first_name": "SAMANTHA",
"middle_name": "JO",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-24",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.016744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.