Active NPI
Andrea Koepke Whalen, BCBA
- Behavior Analyst
- West Dundee, IL
National Provider Identifier
1023491545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 152.001090
- Practice address
- 2191 Hamilton Dr
West Dundee, IL 60118-3500 - Phone
- (608) 669-6974
- NPI assigned
- Jul 1, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 152.001090 | IL | Primary |
Addresses
Primary practice location
2191 Hamilton Dr
West Dundee, IL 60118-3500
Mailing address
317 W Bloomingdale Rd
Itasca, IL 60143-2009
Phone (608) 669-6974
Other practice location 1
317 W Bloomingdale Rd
Itasca, IL 60143-2009
Phone (608) 669-6974
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152.001090 | Other | IL | IL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152.001090 | IL | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurtured Steps Behavioral Therapy PLLC | Behavior Analyst | Current | Accepting new patients |
| Autism Spectrum Therapies of Delaware, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Itasca, IL
- NPI 1831081488
-
dba Wisconsin Early Autism Project
- Clinical Psychologist
- Madison, WI
- NPI 1043406978
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1023491545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 W BLOOMINGDALE RD",
"city": "ITASCA",
"state": "IL",
"postal_code": "601432009",
"telephone_number": "608-669-6974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2191 HAMILTON DR",
"city": "WEST DUNDEE",
"state": "IL",
"postal_code": "601183500",
"telephone_number": "608-669-6974"
}
],
"practiceLocations": [
{
"address_1": "317 W Bloomingdale Rd",
"address_purpose": "LOCATION",
"city": "Itasca",
"state": "IL",
"postal_code": "601432009",
"country_code": "US",
"telephone_number": "608-669-6974",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHALEN",
"first_name": "ANDREA",
"middle_name": "KOEPKE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-01",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "152.001090",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL LICENSE",
"identifier": "152.001090",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Dundee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.