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SAMANTHA MIZOCK LCPC
NPI 1255051892
Counselor - Mental Health in Park Ridge, IL

Active since September 01, 2022
1550 N NORTHWEST HWY STE 360, PARK RIDGE, IL 60068(847) 299-3400 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Mizock Lcpc NPPES

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

SAMANTHA MIZOCK LCPC (NPI 1255051892) is an individual mental health provider in Park Ridge, Illinois, licensed in Illinois (180.016678) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1255051892
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA MIZOCKCredential: LCPC
Location Address1550 N NORTHWEST HWY STE 360Park Ridge, IL 60068-1461
Mailing Address1550 N Northwest Hwy Ste 360Park Ridge, IL 60068-1461 · (847) 299-3400
Phone(847) 299-3400
Sole ProprietorNo
Enumeration DateSeptember 1, 2022
Last NPPES UpdateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
✔ NPI 1255051892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180.016678
Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X · License 596721 (IL)
1550 N NORTHWEST HWY STE 360, Park Ridge, IL 60068
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Other Providers at the Same Location NPPES 5

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

ERIN CLUSKEY
Counselor (Professional)
1550 N NORTHWEST HWY STE 360
PARK RIDGE, IL 60068
Cook County (872) 207-0118
CALISTA LOUISE PECORARO
Counselor (Mental Health)
1550 N NORTHWEST HWY STE 360
PARK RIDGE, IL 60068
Cook County (630) 492-7109
DAVID MICHAEL MARKS LCPC
Counselor (Mental Health)
1550 N NORTHWEST HWY STE 360
PARK RIDGE, IL 60068
Cook County (847) 299-3400
JORDAN STEWART MA, MS, NCC, LPC
Counselor (Professional)
1550 N NORTHWEST HWY STE 360
PARK RIDGE, IL 60068
Cook County (847) 299-3400
TIMOTHY SPIEGEL
Counselor (Professional)
1550 N NORTHWEST HWY STE 360
PARK RIDGE, IL 60068
Cook County (847) 299-3400

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 Samantha Mizock's NPI number?

The NPI number for Samantha Mizock is 1255051892. It was assigned to this individual provider in the NPPES registry on September 1, 2022.

Where is Samantha Mizock located?

Samantha Mizock practices at 1550 N Northwest Hwy Ste 360, Park Ridge, IL 60068. The listed phone number is (847) 299-3400.

What is Samantha Mizock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Samantha Mizock was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.