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MR. AJIT ANANT SAMUDRA MS, LMFT
NPI 1689794687
Marriage & Family Therapist in Evanston, IL

Active since March 31, 2007
820 DAVIS ST STE 455, EVANSTON, IL 60201(224) 714-2412 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ajit Anant Samudra Ms, Lmft NPPES

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

MR. AJIT ANANT SAMUDRA MS, LMFT (NPI 1689794687) is an individual marriage & family therapist in Evanston, Illinois, licensed in Illinois (166000472) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1689794687
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. AJIT ANANT SAMUDRACredential: MS, LMFT
Location Address820 DAVIS ST STE 455Evanston, IL 60201-4447
Mailing Address820 Davis St Ste 455Evanston, IL 60201-4447 · (224) 714-2412
Phone(224) 714-2412
Sole ProprietorNo
Enumeration DateMarch 31, 2007
Last NPPES UpdateMay 10, 2022
NPPES CertifiedMay 10, 2022
✔ NPI 1689794687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in IL · 166000472
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
820 DAVIS ST STE 455, Evanston, IL 60201
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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.

DR. PRESTON JEREMY RICE PSYD
Psychologist (Clinical)
820 DAVIS ST STE 455
EVANSTON, IL 60201
Cook County (224) 714-2412
HOLLIS RABIN LMFT
Marriage & Family Therapist
820 DAVIS ST STE 455
EVANSTON, IL 60201
Cook County (224) 714-2412

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 Ajit Samudra's NPI number?

The NPI number for Ajit Samudra is 1689794687. It was assigned to this individual provider in the NPPES registry on March 31, 2007.

Where is Ajit Samudra located?

Ajit Samudra practices at 820 Davis St Ste 455, Evanston, IL 60201. The listed phone number is (224) 714-2412.

What is Ajit Samudra's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Ajit Samudra was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.