IndividualActive
Jennifer Black, LCPC, CCMHC, LBS1
NPI 1336385103 · Professional Counselor · Evanston, IL
Provider details
- NPI number
- 1336385103
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC, CCMHC, LBS1
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Specialist174400000X
Other Service Providers
- Health Educator174H00000X
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
1125 Cleveland St
Evanston, IL 60202
Phone: (224) 830-9800
Street-level locationGet directions
Mailing address
1125 Cleveland St
Evanston, IL 60202-2114
Additional practice locations (2)
- 2550 Crawford AveEvanston, IL 60201-4900Phone: (224) 830-9800
- 450 W Schaumburg RdSuite 68803Schaumburg, IL 60194-3365Phone: (331) 200-9701
Registry dates
- Enumerated
- 2008-12-30
- Last updated
- 2018-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.