Ms Samantha Kelsey Agins, MA, LCPC - Counselor in Forest Park, IL

Ms Samantha Kelsey Agins, MA, LCPC is a Counselor - Mental Health based in Forest Park, Illinois. Ms Samantha Kelsey Agins is licensed to practice in Illinois (license number 178.013428) and her current practice location is 152 Elgin Ave, Forest Park, Illinois. She can be reached at her office (for appointments etc.) via phone at (224) 639-7776.

NPI number for Ms Samantha Kelsey Agins is 1275030199 and her current mailing address is 417 Des Plaines Ave Unit 641, Forest Park, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275030199.

Contact Information

Ms Samantha Kelsey Agins, MA, LCPC
152 Elgin Ave,
Forest Park, IL 60130
(224) 639-7776
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMs Samantha Kelsey Agins
GenderFemale
SpecialityCounselor - Mental Health
Location152 Elgin Ave, Forest Park, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275030199
  • Provider Enumeration Date: 04/08/2018
  • Last Update Date: 02/25/2021

Medical Identifiers

Medical identifiers for Ms Samantha Kelsey Agins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275030199NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 178.013428 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Samantha Kelsey Agins is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Samantha Kelsey Agins, MA, LCPC
417 Des Plaines Ave Unit 641,
Forest Park, IL 60130-4433

Ph: (224) 639-7776
Ms Samantha Kelsey Agins, MA, LCPC
152 Elgin Ave,
Forest Park, IL 60130

Ph: (224) 639-7776

Reviews and Comments


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