Amanda Brooke Easton, Clinical Professional Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180008978 Issued in IL

Legal business name

AMANDA BROOKE EASTON, CLINICAL PROFESSIONAL COUNSELING, LLC

Practice address

3105 S Dearborn St
Psychology Department
Chicago, IL 60616-2852

Phone

(312) 622-8617

NPI assigned

Oct 7, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amanda Easton, MS, CRC, LCPCNPI 1649680885

Title

Practice Owner and Manager

Phone

(312) 622-8617

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Brooke Easton, CRC, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1649680885
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1013310945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 S INDIANA AVE",
            "address_2": "UNIT 324",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161390",
            "telephone_number": "312-622-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 S DEARBORN ST",
            "address_2": "PSYCHOLOGY DEPARTMENT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162852",
            "telephone_number": "312-622-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA BROOKE EASTON, CLINICAL PROFESSIONAL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "EASTON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRACTICE OWNER AND MANAGER",
        "authorized_official_telephone_number": "312-622-8617",
        "authorized_official_credential": "MS, CRC, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bushrah Amamaalikulmulk
• Casey Thomas Aman, MD
• Zoha Aman
• Amana Behavioral Health
• Amanda Atkins, LLC
• Amanda E. Mitchell Therapy Services, LLC
• Amanda Littell
• Amanda Lucas PLLC
• Amanda Wagner Nutrition PLLC
• Amanda Whetstone, LCSW LLC

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.