Individual provider Active NPI

Samantha Ann Parker, ALMFT

  • Marriage & Family Therapist
  • Buffalo Grove, IL
National Provider Identifier
1598454522
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
208000987 Issued in IL
Practice address
1100 W Lake Cook Rd # 210
Buffalo Grove, IL 60089-2083
Phone
(847) 979-0268
NPI assigned
May 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 208000987 IL Primary

Addresses

Primary practice location

1100 W Lake Cook Rd # 210
Buffalo Grove, IL 60089-2083

Mailing address

1349 E Washington St Unit 306
Des Plaines, IL 60016-9800
Phone (708) 217-2930

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
I20250227001409 IL Practitioner - Marriage and Family Therapist 5395265862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Progressive Psychological Healthcare SCGroup PAC ID 8527366939, 10 clinicians

Practice addresses (Care Compare)

750 W Lake Cook Rd
Suite 190
Buffalo Grove, IL 60089-2084
Phone (847) 979-0268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
208000987ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Psychological Healthcare, S.C. CurrentSince Feb 11, 2025 Accepting new patients
In Home Health, LLC Past Accepting new patients
Marianna Tsaran MD SC PastSince May 7, 2023 Accepting new patients

Locations

1100 W Lake Cook Rd
Ste 210
Buffalo Grove, IL 60089
Phone (847) 979-0268

1100 W Lake Cook Rd
Ste 130
Buffalo Grove, IL 60089
Phone (847) 439-5359

2551 N Clark St
Ste 300
Chicago, IL 60614
Phone (847) 979-0268

Organizations & group practices 3

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": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1598454522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 E WASHINGTON ST UNIT 306",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600169800",
            "telephone_number": "708-217-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W LAKE COOK RD # 210",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600892083",
            "telephone_number": "847-979-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "SAMANTHA",
        "middle_name": "ANN",
        "credential": "ALMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "208000987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

Verify at the official NPI Registry.