Individual provider Active NPI

Amber Konopa, LCPC, CADC, CTRS

  • Professional Counselor
  • Naperville, IL
National Provider Identifier
1043720188
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180013893 Issued in IL
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

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
25619ILMDAddiction (Substance Use Disorder) Counselor
178.011041ILMDProfessional Counselor
180013893ILMDProfessional Counselor
49087ILMDRecreation Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Konick and Associates, PC CurrentSince Oct 1, 2021 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.

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.

Verify at the official NPI Registry.