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

Samuel Crockett, LPC

Individual provider Professional Counselor · NPI 1699563262

Samuel Crockett, LPC is a Professional Counselor in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

124 N Sangamon St
Chicago, IL 60607-2202
Phone: (312) 226-7984
Fax: (312) 980-0482
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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 178-021245 (IL)

Record details

NPI number1699563262
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedApril 25, 2025
Last updated in NPPESApril 25, 2025
Certification dateApril 25, 2025
Mailing address932 W Washington Blvd, Chicago, IL 60607-2217

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