Individual provider Active NPI

Samuel David Boyd, LPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1881325728
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.019924 Issued in IL
Practice address
53 W Jackson Blvd Ste 1028
Chicago, IL 60604-3648
Phone
(423) 202-6769
NPI assigned
Jun 21, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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 178.019924 IL Primary

Addresses

Primary practice location

53 W Jackson Blvd Ste 1028
Chicago, IL 60604-3648

Mailing address

6312 N Paulina St Apt 3a
Chicago, IL 60660-1148
Phone (423) 202-6769

Other practice location 1

6312 N Paulina St Apt 3A
Chicago, IL 60660-1148
Phone (423) 202-6769

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

LicenseStateTypeSpecialty
178.019924ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sam Boyd Counseling PLLC Professional CurrentSince Sep 14, 2025 Accepting new patients

Locations

53 W Jackson Blvd
Ste 1028
Chicago, IL 60604
Phone (312) 505-2751

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": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1881325728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 N PAULINA ST APT 3A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601148",
            "telephone_number": "423-202-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 1028",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043648",
            "telephone_number": "423-202-6769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6312 N Paulina St Apt 3A",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606601148",
            "country_code": "US",
            "telephone_number": "423-202-6769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYD",
        "first_name": "SAMUEL",
        "middle_name": "DAVID",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.019924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.