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

Ida J Samuel-Clay, LCPC

Individual provider Professional Counselor · NPI 1144785825

Ida J Samuel-Clay, LCPC is a Professional Counselor in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2019.

Licensed in
IL
In the registry since
2019
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

8342 S Paxton Ave
Chicago, IL 60617-1852
Phone: (312) 521-0796
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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 180011416 (IL)

Record details

NPI number1144785825
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedFebruary 6, 2019
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025

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