Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Lynn Black, LCPC, CCMHC, LBS1

Individual provider Mental Health Counselor · NPI 1336385103

Jennifer Lynn Black, LCPC, CCMHC, LBS1 is a Mental Health Counselor in Evanston, Illinois. Practices as a sole proprietor and works from 3 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2008
Specialties on file
4
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

1125 Cleveland St
Evanston, IL 60202
Phone: (224) 830-9800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2550 Crawford Ave, Evanston, IL 60201-4900 — (224) 830-9800
  • 450 W Schaumburg Rd, Schaumburg, IL 60194-3365 — (331) 200-9701

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180011432 (IL)
Mental Health Counselor Taxonomy 101YM0800X (IL)
Specialist Taxonomy 174400000X
Health Educator Taxonomy 174H00000X

Record details

NPI number1336385103
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC , CCMHC , LBS1
Sole proprietorYes
NPI enumeratedDecember 30, 2008
Last updated in NPPESMay 23, 2018

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