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

Samantha Mizock, LCPC

Individual provider Rehabilitation Psychologist · NPI 1255051892

Samantha Mizock, LCPC is a Rehabilitation Psychologist in Park Ridge, 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?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

1550 N Northwest Hwy Ste 360
Park Ridge, IL 60068-1461
Phone: (847) 299-3400
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 180.016678 (IL)
Rehabilitation Psychologist Taxonomy 103TR0400X · Licence 596721 (IL)

Record details

NPI number1255051892
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedSeptember 1, 2022
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025