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AMY BAZELON LCPC, LLC
NPI 1124521430
Community/Behavioral Health in Highland Park, IL

Active since March 13, 2018
839 MOSELEY RD, HIGHLAND PARK, IL 60035(847) 707-5424 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amy Bazelon Lcpc, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY BAZELON LCPC, LLC (NPI 1124521430) is a healthcare organization registered as a community/behavioral health in Highland Park, Illinois and active in the NPI registry since March 2018. The organization lists Amy Bazelon, Member, as its authorized official.

NPPES Registry Identity

NPI1124521430
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameAMY BAZELON LCPC, LLC
Location Address839 MOSELEY RDHighland Park, IL 60035-4635
Mailing Address839 Moseley RdHighland Park, IL 60035-4635 · (847) 432-8968
Phone(847) 707-5424
Organization SubpartNo
Authorized OfficialAmy BazelonMember · (847) 707-5424
Enumeration DateMarch 13, 2018
Last NPPES UpdateOctober 28, 2021
NPPES CertifiedOctober 27, 2021
✔ NPI 1124521430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in IL · 180.010546
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
839 MOSELEY RD, Highland Park, IL 60035
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY BAZELON LCPC
Counselor (Professional)
839 MOSELEY RD
HIGHLAND PARK, IL 60035
Lake County (847) 707-5424
JENNA BAZELON
Student in an Organized Health Care Education/Training Program
839 MOSELEY RD
HIGHLAND PARK, IL 60035
Lake County (847) 745-5406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Bazelon Lcpc, LLC's NPI number?

The NPI number for Amy Bazelon Lcpc, LLC is 1124521430. It was assigned to this organization in the NPPES registry on March 13, 2018.

Where is Amy Bazelon Lcpc, LLC located?

Amy Bazelon Lcpc, LLC is located at 839 Moseley Rd, Highland Park, IL 60035. The listed phone number is (847) 707-5424.

What is Amy Bazelon Lcpc, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Amy Bazelon Lcpc, LLC was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.