MS. SAMANTHA KELSEY AGINS M.A., LCPC
NPI 1275030199
Counselor - Mental Health in Forest Park, IL

Q: What is Samantha Agins's NPI number?

The NPI number for Samantha Agins is 1275030199. It was assigned to this individual provider in the NPPES registry on April 8, 2018.

Q: What is Samantha Agins's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Agins was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 08, 2018

152 ELGIN AVE, FOREST PARK, IL 60130(224) 639-7776 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Samantha Kelsey Agins M.a., Lcpc NPPES

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

MS. SAMANTHA KELSEY AGINS M.A., LCPC (NPI 1275030199) is an individual mental health provider in Forest Park, Illinois, licensed in Illinois (178.013428) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1275030199

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. SAMANTHA KELSEY AGINSCredential: M.A., LCPC

Location Address152 ELGIN AVEForest Park, IL 60130

Mailing Address417 Des Plaines Ave Unit 641Forest Park, IL 60130-4433 · (224) 639-7776

Phone(224) 639-7776

Sole ProprietorYes

Enumeration DateApril 8, 2018

Last NPPES UpdateFebruary 25, 2021

NPPES CertifiedFebruary 8, 2021

✔ NPI 1275030199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IL · 178.013428

152 ELGIN AVE, Forest Park, IL 60130

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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 Agins's NPI number?

The NPI number for Samantha Agins is 1275030199. It was assigned to this individual provider in the NPPES registry on April 8, 2018.

Where is Samantha Agins located?

Samantha Agins practices at 152 Elgin Ave, Forest Park, IL 60130. The listed phone number is (224) 639-7776.

What is Samantha Agins'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 Agins was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.