Samantha Mizock, LCPC - in Park Ridge, IL

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Samantha Mizock, LCPC is a Counselor - Mental Health based in Park Ridge, Illinois. Samantha Mizock is licensed to practice in Illinois (license number 180.016678) and her current practice location is 1550 N Northwest Hwy Ste 360, Park Ridge, Illinois. She can be reached at her office (for appointments etc.) via phone at (847) 299-3400.

NPI number for Samantha Mizock is 1255051892 and her current mailing address is 1550 N Northwest Hwy Ste 360, Park Ridge, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255051892.

Contact Information

Samantha Mizock, LCPC
1550 N Northwest Hwy Ste 360,
Park Ridge, IL 60068-1461
(847) 299-3400
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSamantha Mizock
GenderFemale
SpecialityCounselor - Mental Health
Location1550 N Northwest Hwy Ste 360, Park Ridge, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255051892
  • Provider Enumeration Date: 09/01/2022
  • Last Update Date: 01/29/2025

Medical Identifiers

Medical identifiers for Samantha Mizock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255051892NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TR0400XPsychologist - Rehabilitation 596721 (Illinois)Secondary
101YM0800XCounselor - Mental Health 180.016678 (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. Samantha Mizock 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
Samantha Mizock, LCPC
1550 N Northwest Hwy Ste 360,
Park Ridge, IL 60068-1461

Ph: (847) 299-3400		Samantha Mizock, LCPC
1550 N Northwest Hwy Ste 360,
Park Ridge, IL 60068-1461

Ph: (847) 299-3400

Reviews and Comments



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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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