Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649493941 Individual Practitioner Male Practitioner

Phillip Mark Licata , LCPC

Counselor - Professional • Oak Brook, IL

Professional Overview & Biography Verified Profile Summary

Phillip Licata, LCPC is a registered healthcare professional specializing in Counselor - Professional in Oak Brook, IL. Practice services are available at 1000 JORIE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1000 Jorie Blvd
Suite 48

Oak Brook, IL 605232214

Telephone 8479510338
Associated Practice Facility / Clinic
🏢 Center For Stress & Coping Pc Facility NPI 1952474082

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Oak Brook, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
82 Specialists

Practicing in Oak Brook, IL (9683 Statewide)

Telehealth Adoption Rate
2.4% 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180004784

Definition to come...

Practice Associates & Co-Workers

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

12 Associated Practitioners
Katherine Hynes , LCSW

Social Worker - Clinical

NPI 1134706047

Licensed Clinical Social Worker

Citlali Sanchez-Pantoja

Social Worker - Clinical

NPI 1285567503
NPI 1376552182

Doctor of Chiropractic

Zachary Loveland , MSW, LCSW

Social Worker - Clinical

NPI 1518431683

Master of Social Work, Licensed Clinical Social Worker

NPI 1548883739

Master of Science, Licensed Clinical Professional Counselor

Mary Walshe , LCSW

Counselor - Mental Health

NPI 1689984205

Licensed Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1000 JORIE BLVD, SUITE 48, OAK BROOK, IL 605232214 (Tel: 8479510338)

📍
Updated Business Mailing Address July 08, 2007

Registered at 18557 W COUNTRY LN, GRAYSLAKE, IL 600302219 (Tel: 8472314056)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PHILLIP LICATA, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #180004784 in IL)

🟢
Initial NPI Registration & Enumeration April 11, 2007

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: 1649493941
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

18557 W Country Ln

Grayslake, IL 600302219

Phone: 8472314056

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.