Luis San Roman, LCPC
NPI 1124480595ActiveIndividual· Counselor, Professional· Lake Bluff, IL
Counselor, Professional (LCPC) with White Stone Partners LLC and 1 other group, practicing in Lake Bluff, Illinois. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1124480595 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCPC |
| Sole proprietor | Yes |
| NPI issued | Mar 24, 2016 |
| Last updated in NPPES | Aug 5, 2022 |
| Certified by provider | Aug 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 18012203 | IL |
| Counselor, Professional | 101YP2500X | 178011862 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (IL) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical groups
- White Stone Partners LLCLake Bluff, IL · 7 clinicians
- Mosaic Wholeness Center LLCRolling Meadows, IL · 2 clinicians
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All 30 professional counselors in Lake Bluff · All professional counselors in Illinois