Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Samuel Bourne, LPC, NCC

Individual provider Professional Counselor · NPI 1336043595

Samuel Bourne, LPC, NCC is a Professional Counselor in Sycamore, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2026
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

122 S Locust St Ste A
Sycamore, IL 60178-1865
Phone: (847) 507-3583
Fax: (847) 717-6790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 333 N Randall Rd Ste 20, St Charles, IL 60174-1500 — (847) 507-3583

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 178021763 (IL)

Record details

NPI number1336043595
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , NCC
Sole proprietorNo
NPI enumeratedOctober 2, 2026
Last updated in NPPESOctober 2, 2026
Certification dateOctober 2, 2026

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