MR. PHILLIP MARK LICATA (LCPC) – Professional Counselor, NPI 1649493941

MR. PHILLIP MARK LICATA (LCPC) is a healthcare provider. based in Grayslake, Illinois. specializing in Professional Counselor. They hold the professional credentials LCPC. They hold a License No. 180004784 (IL). The NPI Number for MR. PHILLIP MARK LICATA (LCPC) is 1649493941

Main info

Male
Sole Proprietor
Name
MR. PHILLIP MARK LICATA (LCPC)
NPI
1649493941
Phone
(847) 231-4056
Address
18557 W COUNTRY LN
Enumeration Date
11 April 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MR. PHILLIP MARK LICATA (LCPC)

  • 18557 W COUNTRY LN

    GRAYSLAKE, IL 600302219

    Phone: (847) 231-4056

    Type: Mailing

  • 1000 JORIE BLVD

    SUITE 48

    OAK BROOK, IL 605232214

    Phone: (847) 951-0338

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60030)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. PHILLIP MARK LICATA (LCPC)?
MR. PHILLIP MARK LICATA (LCPC) — NPI 1649493941 — is the standard way to identify this listing.
Does the file indicate MR. PHILLIP MARK LICATA (LCPC) is practicing under active NPI?
Directory data currently reports MR. PHILLIP MARK LICATA (LCPC) as active.
What is MR. PHILLIP MARK LICATA (LCPC)'s primary classification?
Professional Counselor is the headline specialty for MR. PHILLIP MARK LICATA (LCPC) here. Clinical services aligned with this taxonomy classification.
What address line appears for MR. PHILLIP MARK LICATA (LCPC)?
MR. PHILLIP MARK LICATA (LCPC)'s geographic hint is Grayslake, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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