Samantha Dallas LCPC, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SAMANTHA DALLAS LCPC, PLLC

Practice address

20 N Clark St Ste 1103
Chicago, IL 60602-4190

Phone

(815) 474-3380

NPI assigned

Feb 6, 2024

Organization subpart

No

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

Authorized official

Name

Samantha Jane Dallas, LCPCNPI 1710457478

Title

Owner

Phone

(815) 474-3380

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Dallas, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1710457478
  NPD Authorized official

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1760246201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 N JEFFERSON ST STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N CLARK ST STE 1103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024190",
            "telephone_number": "815-474-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA DALLAS LCPC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "DALLAS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-474-3380",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos A Samaniego
• Joshua Maurice Samaniego
• Molly Samansky, M.S., CCC-SLP
• Maanasi Samant, MD
• Sandeep Samant, MD
• Hani Samarah, MD
• Jonathan Samardzich, PHARM.D
• Melanie Komar Samardzija, PHD, FNP-BC
• Samaritan Counseling and Consulting Services LLC
• Alexsandra Samata, RN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.