Amanda Scanlon, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180004402 Issued in IL

Practice address

522 Chestnut St
Suite 2D
Hinsdale, IL 60521-3171

Phone

(630) 321-1073

Fax

(630) 214-0476

NPI assigned

Aug 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nourish Well Counseling, PLLC

  • Mental Health Counselor
  • Glen Ellyn, IL
  • NPI 1407674492
  NPD Authorized official
• Hinsdale Therapy Group

  • Clinical Social Worker
  • Hinsdale, IL
  • NPI 1316060718

  Professional

  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1083727432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 CHESTNUT STREET",
            "address_2": "SUITE 2D",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213171",
            "telephone_number": "630-321-1073",
            "fax_number": "630-214-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 CHESTNUT ST",
            "address_2": "SUITE 2D",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213171",
            "telephone_number": "630-321-1073",
            "fax_number": "630-214-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANLON",
        "first_name": "AMANDA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180004402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0081646702",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0032241345",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Preethi Sasikumar, M.D.
• Alexandrina S. Saulis, M.D.
• Vytas Saulis, MD
• Megan Rose Sax, M.D.
• Morgan Sayre
• Kimberly Sue Scanlon, DO
• Teresa Lynne Schaal, D.C.
• Kyle John Schafer
• Emma Schaul, MA, LPC
• Carla Jean Schemper, LCSW

• Professional Counselor in Hinsdale, IL
• Providers in Hinsdale, 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 17, 2012; 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.