SAMARITAN INTERFAITH COUNSELING CENTER INC.
NPI 1497842983
Psychologist - Clinical in Naperville, IL

Q: What is Samaritan Interfaith Counseling Center Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since October 06, 2006

1819 BAY SCOTT CIR STE 109, NAPERVILLE, IL 60540(630) 357-2456(630) 357-2482 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Samaritan Interfaith Counseling Center Inc. NPPES

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

SAMARITAN INTERFAITH COUNSELING CENTER INC. (NPI 1497842983) is a healthcare organization registered as a clinical in Naperville, Illinois and active in the NPI registry since October 2006. The organization lists Scott Mitchell, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1497842983

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSAMARITAN INTERFAITH COUNSELING CENTER INC.

Location Address1819 BAY SCOTT CIR STE 109Naperville, IL 60540-1130

Mailing Address1819 Bay Scott Cir Ste 109Naperville, IL 60540-1130 · (630) 357-2456 · Fax (630) 357-2482

Phone(630) 357-2456

Fax(630) 357-2482

Organization SubpartNo

Authorized OfficialScott MitchellExecutive Director · (630) 357-2456

Enumeration DateOctober 6, 2006

Last NPPES UpdateJune 21, 2018

✔ NPI 1497842983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071-004701

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1819 BAY SCOTT CIR STE 109, Naperville, IL 60540

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samaritan Interfaith Counseling Center Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 25 clinicians reassign Medicare billing to Samaritan Interfaith Counseling Center Inc., which bills Medicare for the services they deliver. Of these, 8 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Clinical Social Worker10

Clinical Psychologist9

Mental Health Counselor3

Psychiatry2

Nurse Practitioner1

Nearest to this location (20)

See all 25

Michael Bradburn, LCSW

Clinical Social Worker

NPI 1205140811

1819 BAY SCOTT CIR SUITE 109
Naperville, IL 60540

(630) 357-2456

✔ PECOS✔ Accepts MedicareSame address

Eunsil Kim, LPC

Mental Health Counselor

NPI 1083585343

1819 BAY SCOTT CIR
Naperville, IL 60540

(630) 357-2456

✔ PECOSSame address

Monica Guilhot Chartrand, LCSW

Clinical Social Worker

NPI 1184716896

1819 BAY SCOTT CIR STE 109
Naperville, IL 60540

(630) 357-2456

✔ PECOS✔ Accepts MedicareSame address

Scott Mitchell, PSY.D

Clinical Psychologist

NPI 1215024757

1819 BAY SCOTT CIR STE 109
Naperville, IL 60540

(630) 357-2456

✔ PECOS✔ Accepts MedicareSame address

Genalin Niere-Metcalf, R.N., M.A., PSY.D

Clinical Psychologist

NPI 1639451057

1819 BAY SCOTT CIR STE 109
Naperville, IL 60540

(630) 357-2456

✔ PECOS✔ Accepts MedicareSame address

Jeremy Omerod, LCPC

Mental Health Counselor

NPI 1457558561

1819 BAY SCOTT CIR STE 109
Naperville, IL 60540

(630) 357-2456

✔ PECOS✔ Accepts MedicareSame address

Charlene Slezak, PSY.D

Clinical Psychologist

NPI 1376635011

1819 BAY SCOTT CIR STE 109
Naperville, IL 60540

(630) 357-2456

✔ PECOS✔ Accepts MedicareSame address

Natalie Potts, LCSW

Clinical Social Worker

NPI 1528724267

1819 BAY SCOTT CIR STE 109
Naperville, IL 60540

(630) 357-2456

✔ PECOS✔ Accepts MedicareSame address

Cynthia Penne, PSY.D.

Clinical Psychologist

NPI 1164066528

2794 ROSEHALL LN
Aurora, IL 60503

(630) 870-5657

✔ PECOS✔ Accepts Medicare3.6 mi

Starlene Kelley, LCSW, CADC

Clinical Social Worker

NPI 1487959847

4320 WINFIELD RD STE 200
Warrenville, IL 60555

(312) 801-5100

✔ PECOS✔ Accepts Medicare4.1 mi

Krystel Segovia

Clinical Psychologist

NPI 1154034650

5 PICNIC CT
Bolingbrook, IL 60490

(331) 213-1075

✔ PECOS4.3 mi

Kary Pekarek, LCSW

Clinical Social Worker

NPI 1316377120

5950 LINCOLN AVE UNIT W
Lisle, IL 60532

(630) 541-8930

✔ PECOS✔ Accepts Medicare6.1 mi

Andrew Nichols, MSW, LCSW

Clinical Social Worker

NPI 1821161787

1761 S NAPERVILLE RD STE 200
Wheaton, IL 60189

(630) 260-0606

✔ PECOS✔ Accepts Medicare7.6 mi

Jeffrey Santee, PHD

Clinical Psychologist

NPI 1457424400

1761 S NAPERVILLE RD STE 200
Wheaton, IL 60189

(630) 260-0606

✔ PECOS✔ Accepts Medicare7.6 mi

Anna Mackender, MD

Psychiatry

NPI 1285862284

1761 S NAPERVILLE RD STE 200
Wheaton, IL 60189

(630) 260-0606

✔ PECOS✔ Accepts Medicare7.6 mi

Mateusz Dzikowski, PSY.D.

Clinical Psychologist

NPI 1316391675

2100 MANCHESTER RD STE 1510
Wheaton, IL 60187

(630) 653-1717

✔ PECOS✔ Accepts Medicare8.3 mi

Stacey Schulte, AGPCNP-BC

Nurse Practitioner

NPI 1194155861

907 N ELM ST STE 300
Hinsdale, IL 60521

(888) 927-2203

✔ PECOS✔ Accepts Medicare14 mi

William Ressl, MDIV, MSW, PHD, LCSW

Clinical Social Worker

NPI 1326785973

3604 SUNNYSIDE AVE
Brookfield, IL 60513

(708) 387-7986

✔ PECOS18 mi

Penny Taylor, MDIV, MSW, PHD, LCSW

Clinical Social Worker

NPI 1033857958

3604 SUNNYSIDE AVE
Brookfield, IL 60513

(708) 387-7986

✔ PECOS18 mi

Anne Patterson

Mental Health Counselor

NPI 1518850346

4840 W BYRON ST
Chicago, IL 60641

(773) 282-7800

✔ PECOS✔ Accepts Medicare27 mi

See all 25 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Samaritan Interfaith Counseling Center Inc.'s NPI number?

The NPI number for Samaritan Interfaith Counseling Center Inc. is 1497842983. It was assigned to this organization in the NPPES registry on October 6, 2006.

Where is Samaritan Interfaith Counseling Center Inc. located?

Samaritan Interfaith Counseling Center Inc. is located at 1819 Bay Scott Cir Ste 109, Naperville, IL 60540. The listed phone number is (630) 357-2456.

What is Samaritan Interfaith Counseling Center Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Samaritan Interfaith Counseling Center Inc. enrolled in Medicare?

Yes. Samaritan Interfaith Counseling Center Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Samaritan Interfaith Counseling Center Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 5 Medicare specialties reassign their Medicare billing to Samaritan Interfaith Counseling Center Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (10), Clinical Psychologist (9) and Mental Health Counselor (3). Of these, 8 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Samaritan Interfaith Counseling Center Inc. was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.