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

Dr. Luis San Roman, LCPC

Individual provider Professional Counselor · NPI 1124480595

Dr. Luis San Roman, LCPC is a Mental Health Counselor in Lake Bluff, Illinois. Qualified in 2015, 11 years ago. Practices with White Stone Partners LLC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2016
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

100 N Waukegan Rd Ste 204
Lake Bluff, IL 60044-1660
Phone: (847) 821-9346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 18012203 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 178011862 (IL)

Record details

NPI number1124480595
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorYes
NPI enumeratedMarch 24, 2016
Last updated in NPPESAugust 5, 2022
Certification dateAugust 5, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice White Stone Partners Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Lake Bluff