Active NPI
Amber Konopa, LCPC, CADC, CTRS
- Professional Counselor
- Naperville, IL
National Provider Identifier
1043720188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180013893
- Practice address
- 600 S Washington St Ste 105
Naperville, IL 60540-6665 - Phone
- (630) 206-4060
- Fax
- (855) 871-8351
- NPI assigned
- Oct 3, 2017
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 25619 | IL | |
| Mental Health Counselor | 101YM0800X | 178.011041 | IL | |
| Professional Counselor | 101YP2500X | 178.011041 | IL | |
| Professional Counselor | 101YP2500X | 180013893 | IL | Primary |
| Recreation Therapist | 225800000X | 49087 | IL |
Addresses
Primary practice location
600 S Washington St Ste 105
Naperville, IL 60540-6665
Mailing address
9S060 Lake Dr Apt 106
Willowbrook, IL 60527-2534
Phone (815) 355-1218
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 |
|---|---|---|---|
| 25619 | IL | MD | Addiction (Substance Use Disorder) Counselor |
| 178.011041 | IL | MD | Professional Counselor |
| 180013893 | IL | MD | Professional Counselor |
| 49087 | IL | MD | Recreation Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Konick and Associates, PC | Current | Accepting new patients |
Locations
600 S Washington St
Ste 105
Naperville, IL 60540
Phone (630) 206-4060
3380 Lacrosse Ln
Ste 106
Naperville, IL 60564
Phone (219) 718-9328
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- Naperville, IL
- NPI 1538532908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1043720188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9S060 LAKE DR APT 106",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605272534",
"telephone_number": "815-355-1218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S WASHINGTON ST STE 105",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605406665",
"telephone_number": "630-206-4060",
"fax_number": "855-871-8351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONOPA",
"first_name": "AMBER",
"credential": "LCPC, CADC, CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-03",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "25619",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178.011041",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.011041",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180013893",
"primary": true
},
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "IL",
"license": "49087",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.