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

Mrs. Othella Banner, LCPC

Individual provider Counselor · NPI 1386083665

Mrs. Othella Banner, LCPC is a Counselor in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

641 W 63rd St
Chicago, IL 60621-2032
Phone: (312) 747-7496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 101Y00000X (IL)

Record details

NPI number1386083665
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedJune 19, 2013
Last updated in NPPESJune 19, 2013

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