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SAMANTHA DALLAS LCPC
NPI 1710457478
Counselor - Professional in Chicago, IL

Active since November 26, 2018
1300 W BELMONT AVE STE 508, CHICAGO, IL 60657(815) 474-3380 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2022, Nov 26, 2018 (2 updates tracked since 2018).

About Samantha Dallas Lcpc NPPES

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

SAMANTHA DALLAS LCPC (NPI 1710457478) is an individual professional provider in Chicago, Illinois, licensed in Illinois (178.014261) and active in the NPI registry since November 2018. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1710457478
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSAMANTHA DALLASCredential: LCPC
Location Address1300 W BELMONT AVE STE 508Chicago, IL 60657-3242
Mailing Address1300 W Belmont Ave Ste 508Chicago, IL 60657-3242 · (815) 474-3380
Phone(815) 474-3380
Sole ProprietorNo
Enumeration DateNovember 26, 2018
Last NPPES UpdateAugust 29, 20222 updates tracked since enumeration
NPPES CertifiedAugust 29, 2022
✔ NPI 1710457478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178.014261
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 180014396 (IL)
1300 W BELMONT AVE STE 508, Chicago, IL 60657
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Secondary Practice Location 1

Location 12402 N Lincoln AveChicago, IL 60614-2415 · Phone (773) 469-6675

Other Identifiers 1

Other14371810Caqh

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 Dallas's NPI number?

The NPI number for Samantha Dallas is 1710457478. It was assigned to this individual provider in the NPPES registry on November 26, 2018.

Where is Samantha Dallas located?

Samantha Dallas practices at 1300 W Belmont Ave Ste 508, Chicago, IL 60657. The listed phone number is (815) 474-3380.

What is Samantha Dallas'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 Samantha Dallas was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.