ISAAC WILLIAM SAMUELSON LPC
NPI 1184232183
Counselor in Chicago, IL

Q: What is Isaac Samuelson's NPI number?

The NPI number for Isaac Samuelson is 1184232183. It was assigned to this individual provider in the NPPES registry on July 16, 2020.

Q: What is Isaac Samuelson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Isaac Samuelson was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 July 16, 2020PECOS Enrolled

5300 N SHERIDAN RD APT 410, CHICAGO, IL 60640(404) 661-0945 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2025, Jul 16, 2020 (2 updates tracked since 2020).

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About Isaac William Samuelson Lpc NPPES

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

ISAAC WILLIAM SAMUELSON LPC (NPI 1184232183) is an individual counselor in Chicago, Illinois, licensed in Illinois (178.015973) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184232183

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameISAAC WILLIAM SAMUELSONCredential: LPC

Location Address5300 N SHERIDAN RD APT 410Chicago, IL 60640-2509

Mailing Address5300 N Sheridan Rd Apt 410Chicago, IL 60640-2509 · (404) 661-0945

Phone(404) 661-0945

Sole ProprietorYes

Enumeration DateJuly 16, 2020

Last NPPES UpdateMarch 7, 20252 updates tracked since enumeration

NPPES CertifiedMarch 7, 2025

✔ NPI 1184232183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in IL · 178.015973

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

5300 N SHERIDAN RD APT 410, Chicago, IL 60640

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Isaac William Samuelson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Isaac Samuelson's NPI number?

The NPI number for Isaac Samuelson is 1184232183. It was assigned to this individual provider in the NPPES registry on July 16, 2020.

Where is Isaac Samuelson located?

Isaac Samuelson practices at 5300 N Sheridan Rd Apt 410, Chicago, IL 60640. The listed phone number is (404) 661-0945.

What is Isaac Samuelson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Isaac Samuelson enrolled in Medicare?

Yes. Isaac Samuelson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Isaac Samuelson was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.