IndividualActive
Jacques Black, LSW
NPI 1215795000 · Professional Counselor · Chicago, IL
Jacques Black, LSW is a Professional Counselor provider in Chicago, IL (NPI 1215795000).
Provider details
- NPI number
- 1215795000
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1525 E 53rd St Ste 901
Chicago, IL 60615-4572
Phone: (773) 234-0644
Street-level locationGet directions
Mailing address
1403 E Evergreen Dr Apt 101
Palatine, IL 60074-8712
Registry dates
- Enumerated
- 2024-03-07
- Last updated
- 2025-09-11
- Certified
- 2024-03-07
Frequently asked questions
- What is Jacques Black's NPI number?
- Jacques Black's National Provider Identifier (NPI) is 1215795000, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacques Black's specialty?
- Jacques Black is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Jacques Black located?
- Jacques Black's practice location on file with NPPES is 1525 E 53rd St Ste 901, Chicago, IL 60615-4572.
- What is Jacques Black's phone number?
- The practice phone number listed in the NPPES registry for Jacques Black is (773) 234-0644.
- Is Jacques Black's NPI active?
- Yes — Jacques Black's NPI (1215795000) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.