Individual provider · Type 1 NPI

Luisa Ellenbogen

Counselor · Deerfield, IL

NPI number 1962379628 Active

Practice location

770 Lake Cook Rd Ste 105
Deerfield, IL 60015-4920

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X178.022228 (IL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1962379628

Luisa Ellenbogen's National Provider Identifier is 1962379628, issued on Oct 18, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Deerfield, IL. The record was last updated on Oct 18, 2025.