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

Lauren Black, BS

Individual provider Mental Health Counselor · NPI 1124766597

Lauren Black, BS is a Mental Health Counselor in Pontiac, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022
Specialties on file
2
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

920 W Custer Ave
Pontiac, IL 61764-1067
Phone: (815) 844-6109
Fax: (815) 844-3561
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180017973 (IL)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1124766597
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS
Sole proprietorNo
NPI enumeratedMay 25, 2022
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026

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