Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811380835 Individual Practitioner Female Practitioner

Samantha Stack , LCPC

Counselor - Mental Health • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Samantha Stack, LCPC is a registered healthcare professional specializing in Counselor - Mental Health in Chicago, IL. Practice services are available at 3301 W 111TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3301 W 111th St

Chicago, IL 606552715

Telephone 3124690486
Associated Practice Facility / Clinic
🏢 Reed Chiropractic, Inc Facility NPI 1689914806

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Mental Health in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.7 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
2152 Specialists

Practicing in Chicago, IL (10911 Statewide)

Telehealth Adoption Rate
1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-12-01
Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Tania Velazquez

Social Worker - Clinical

NPI 1083398408
Abby Gentile , LCPC

Counselor - Mental Health

NPI 1124521232

Licensed Clinical Professional Counselor

Natalie Deleon , LPC

Counselor - Professional

NPI 1235953688

Licensed Professional Counselor

Angela Bush

Counselor - Professional

NPI 1346821790
Kathleen Mcshane

Social Worker

NPI 1427972025
Kayla Tilkes

Counselor - Mental Health

NPI 1467268086

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location December 01, 2020

Registered at 3301 W 111TH ST, CHICAGO, IL 606552715 (Tel: 3124690486)

📍
Updated Business Mailing Address December 01, 2020

Registered at 3301 W 111TH ST, CHICAGO, IL 606552715 (Tel: 7089953726)

👤
Provider Name / Credentials Updated December 01, 2020

Recorded as SAMANTHA STACK, LCPC

NPI Profile Active March 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 16, 2015

Registered at 1023 BURLINGTON AVE, WESTERN SPRINGS, IL 605581516 (Tel: 7089953726)

📍
Updated Business Mailing Address March 16, 2015

Registered at 1023 BURLINGTON AVE, WESTERN SPRINGS, IL 605581516 (Tel: 7089953726)

👤
Provider Name / Credentials Updated March 16, 2015

Recorded as SAMANTHA HELMS, B.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2015

Counselor

🟢
Initial NPI Registration & Enumeration March 16, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811380835
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2015
Last Update: December 01, 2020
Sole Proprietor: Yes

Mailing Address

3301 W 111th St

Chicago, IL 606552715

Phone: 7089953726

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.