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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SAMUEL BOURNE LPC, NCC
NPI 1336043595
Counselor - Professional in Sycamore, IL

Active since October 02, 2026
122 S LOCUST ST STE A, SYCAMORE, IL 60178(847) 507-3583(847) 717-6790 Get Directions Write a Review

NPPES record added: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Samuel Bourne Lpc, Ncc NPPES

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

SAMUEL BOURNE LPC, NCC (NPI 1336043595) is an individual professional provider in Sycamore, Illinois, licensed in Illinois (178021763) and active in the NPI registry since October 2026. He maintains a secondary practice location in St Charles.

NPPES Registry Identity

NPI1336043595
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSAMUEL BOURNECredential: LPC, NCC
Location Address122 S LOCUST ST STE ASycamore, IL 60178-1865
Mailing Address207 Pawtucket AveElgin, IL 60124-4318
Phone(847) 507-3583
Fax(847) 717-6790
Sole ProprietorNo
Enumeration DateOctober 2, 2026
NPPES CertifiedOctober 2, 2026
✔ NPI 1336043595 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 · 178021763
122 S LOCUST ST STE A, Sycamore, IL 60178
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Secondary Practice Location 1

Location 1333 N Randall Rd Ste 20St Charles, IL 60174-1500 · Phone (847) 507-3583 · Fax (847) 717-6790

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.

FISCHER COUNSELING INC
Community/Behavioral Health
122 S LOCUST ST STE A
SYCAMORE, IL 60178
Dekalb County (847) 507-3583
MRS. RENEE CHARLENE FISCHER LCPC
Counselor (Professional)
122 S LOCUST ST STE A
SYCAMORE, IL 60178
Dekalb County (847) 507-3583

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 Samuel Bourne's NPI number?

The NPI number for Samuel Bourne is 1336043595. It was assigned to this individual provider in the NPPES registry on October 2, 2026.

Where is Samuel Bourne located?

Samuel Bourne practices at 122 S Locust St Ste A, Sycamore, IL 60178. The listed phone number is (847) 507-3583.

What is Samuel Bourne'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 Samuel Bourne was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.