Individual provider Active NPI

Andrea Koepke Whalen, BCBA

  • Behavior Analyst
  • West Dundee, IL
National Provider Identifier
1023491545
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
152.001090 Issued in IL
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

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
152.001090OtherILIL 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

LicenseStateTypeSpecialty
152.001090ILMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Nurtured Steps Behavioral Therapy PLLC Behavior Analyst CurrentSince Sep 3, 2025 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.

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.

Verify at the official NPI Registry.