MS. SAMANTHA MARIE VAZQUEZ LCPC
NPI 1790207868
Counselor - Mental Health in Evergreen Park, IL

Active since July 11, 2017
10104 S UTICA AVE, EVERGREEN PARK, IL 60805(304) 280-6360 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Samantha Marie Vazquez Lcpc NPPES

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

MS. SAMANTHA MARIE VAZQUEZ LCPC (NPI 1790207868) is an individual mental health provider in Evergreen Park, Illinois, licensed in Illinois (180.011006) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1790207868
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. SAMANTHA MARIE VAZQUEZCredential: LCPC
Location Address10104 S UTICA AVEEvergreen Park, IL 60805-3527
Mailing Address10104 S Utica AveEvergreen Park, IL 60805-3527 · (304) 280-6360
Sole ProprietorYes
Enumeration DateJuly 11, 2017
Last NPPES UpdateDecember 19, 2023
NPPES CertifiedDecember 19, 2023
NPI 1790207868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 180.011006
10104 S UTICA AVE, Evergreen Park, IL 60805

Other Names 1

Former Name (1)Samantha Marie Mcglumphy Lcpc

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adult Mental Health)
10104 S UTICA AVE
EVERGREEN PARK, IL 60805

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 Vazquez's NPI number?

The NPI number for Samantha Vazquez is 1790207868. It was assigned to this individual provider in the NPPES registry on July 11, 2017. The provider is also known as Samantha Marie Mcglumphy Lcpc.

Where is Samantha Vazquez located?

Samantha Vazquez practices at 10104 S Utica Ave, Evergreen Park, IL 60805. The listed phone number is (304) 280-6360.

What is Samantha Vazquez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Samantha Vazquez accept?

Health plans from Providence Health Plan list Samantha Vazquez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Vazquez was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.