OrganizationActive
Black Lotus Counseling Center
NPI 1275321796 · Community Health Clinic/Center · Sycamore, IL
Provider details
- NPI number
- 1275321796
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Matthew Sprong, President(815) 993-8724
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% 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
2431 Bethany Rd Ste B
Sycamore, IL 60178-3136
Phone: (815) 993-8724
Street-level locationGet directions
Mailing address
2431 Bethany Rd Ste B
Sycamore, IL 60178-3136
Registry dates
- Enumerated
- 2025-04-25
- Last updated
- 2025-04-25
- Certified
- 2025-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.