Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blaire Paulsen

Individual provider Mental Health Counselor · NPI 1023686987

Blaire Paulsen is a Clinical Psychologist in Oak Park, Illinois. Qualified in 2021, 5 years ago. Practices with Smart Love Parenting Center, a 10-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
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Practice location Address checks out

1010 Lake St Ste 500
Oak Park, IL 60301-1135
Phone: (773) 665-8052
Fax: (708) 384-7501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1023686987
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 16, 2021
Last updated in NPPESJune 16, 2021
Certification dateJune 15, 2021
Mailing address2620 N Dayton St Apt 3f, Chicago, IL 60614-7098

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Smart Love Parenting Center — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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