ELIZABETH BLACK MA LCPC NPI 1548675382

NPI Information

  • NPI: 1548675382
  • Provider Name: ELIZABETH BLACK, MA, LCPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5 REVERE DR
    SUITE 100
    NORTHBROOK, IL
    ZIP 60062
  • Phone: (847) 291-6805

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NPI Details

Elizabeth Black, MA, LCPC is a mental health counselor in Northbrook, IL. Elizabeth Black, MA, LCPC NPI is 1548675382. 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:

5 REVERE DR
SUITE 100
NORTHBROOK, IL
ZIP 60062-566
Phone: (847) 291-6805

The NPI 1548675382 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/30/2014 and was last updated on 8/5/2016.

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
1101YM0800XCounselorMental Health178.009341ILLINOISNo
2101YM0800XCounselorMental Health180010188ILLINOISYes

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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