Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMANTHA PROCTOR LCPC
NPI 1417645987
Counselor - Mental Health in Downers Grove, IL

Active since April 24, 2023
1121 WARREN AVE STE 160, DOWNERS GROVE, IL 60515(630) 225-7256 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 1, 2026, Apr 12, 2025 (2 updates tracked since 2025).

About Samantha Proctor Lcpc NPPES

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

SAMANTHA PROCTOR LCPC (NPI 1417645987) is an individual mental health provider in Downers Grove, Illinois, licensed in Illinois (180.016804) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1417645987
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA PROCTORCredential: LCPC
Location Address1121 WARREN AVE STE 160Downers Grove, IL 60515-3571
Mailing Address1121 Warren Ave Ste 160Downers Grove, IL 60515-3571 · (630) 225-7256
Sole ProprietorNo
Enumeration DateApril 24, 2023
Last NPPES UpdateSeptember 1, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
NPI 1417645987 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 · 180.016804
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 178.019041 (IL)
1121 WARREN AVE STE 160, Downers Grove, IL 60515

Other Names 1

Former Name (1)Samantha Kovac Lpc/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 Samantha Proctor's NPI number?

The NPI number for Samantha Proctor is 1417645987. It was assigned to this individual provider in the NPPES registry on April 24, 2023. The provider is also known as Samantha Kovac Lpc/Lcpc.

Where is Samantha Proctor located?

Samantha Proctor practices at 1121 Warren Ave Ste 160, Downers Grove, IL 60515. The listed phone number is (630) 225-7256.

What is Samantha Proctor'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 Proctor was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.