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

Tomasz Jurczak, LPC

Individual provider Professional Counselor · NPI 1073328043

Tomasz Jurczak, LPC is a Mental Health Counselor in Park Ridge, Illinois. Qualified in 2024, 2 years ago. Practices with Ishine Behavioral Health Inc, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
2
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

250 S Northwest Hwy Ste 110
Park Ridge, IL 60068-4237
Phone: (224) 985-5824
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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 178.021250 (IL)

Record details

NPI number1073328043
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedFebruary 7, 2025
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ishine Behavioral Health Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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