SAMANTHA PROCTOR LCPC NPI 1417645987

NPI Information

  • NPI: 1417645987
  • Provider Name: SAMANTHA PROCTOR, LCPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 5151 MOCHEL DR STE 307
    DOWNERS GROVE, IL
    ZIP 60515
  • Phone: (630) 963-5390

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NPI Details

Samantha Proctor, LCPC is a mental health counselor in Downers Grove, IL. Samantha Proctor, LCPC NPI is 1417645987. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5151 MOCHEL DR STE 307
DOWNERS GROVE, IL
ZIP 60515-078
Phone: (630) 963-5390
Fax: (630) 852-2841

The enumeration date for this NPI number is 4/24/2023 and was last updated on 4/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional178.019041ILLINOISNo
2101YM0800XCounselorMental Health180.016804ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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