IDA J SAMUEL-CLAY LCPC
NPI 1144785825
Counselor - Professional in Chicago, IL

Q: What is Ida Samuel-clay's NPI number?

The NPI number for Ida Samuel-clay is 1144785825. It was assigned to this individual provider in the NPPES registry on February 6, 2019. The provider is also known as Ida J Samuel Lcpc.

Q: What is Ida Samuel-clay's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Ida Samuel-clay was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since February 06, 2019

8342 S PAXTON AVE, CHICAGO, IL 60617(312) 521-0796 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 27, 2025, Apr 1, 2025, Feb 6, 2019 (3 updates tracked since 2019).

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About Ida J Samuel-clay Lcpc NPPES

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

IDA J SAMUEL-CLAY LCPC (NPI 1144785825) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180011416) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1144785825

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameIDA J SAMUEL-CLAYCredential: LCPC

Location Address8342 S PAXTON AVEChicago, IL 60617-1852

Mailing Address8342 S Paxton AveChicago, IL 60617-1852 · (312) 521-0796

Phone(312) 521-0796

Sole ProprietorNo

Enumeration DateFebruary 6, 2019

Last NPPES UpdateMay 27, 20253 updates tracked since enumeration

NPPES CertifiedMay 27, 2025

✔ NPI 1144785825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in IL · 180011416

8342 S PAXTON AVE, Chicago, IL 60617

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Other Names 1

Former Name (1)Ida J Samuel Lcpc

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 Ida Samuel-clay's NPI number?

The NPI number for Ida Samuel-clay is 1144785825. It was assigned to this individual provider in the NPPES registry on February 6, 2019. The provider is also known as Ida J Samuel Lcpc.

Where is Ida Samuel-clay located?

Ida Samuel-clay practices at 8342 S Paxton Ave, Chicago, IL 60617. The listed phone number is (312) 521-0796.

What is Ida Samuel-clay's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Ida Samuel-clay was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.