Individual provider Active NPI

Amanda Eannarino, MA LCPC

  • Professional Counselor
  • McHenry, IL
National Provider Identifier
1083992861
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.007895 Issued in IL
Practice address
4209 W Shamrock LN Unit C
McHenry, IL 60050-8700
Phone
(815) 344-9443
Fax
(815) 344-9445
NPI assigned
Jul 28, 2011
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.007895 IL Primary

Addresses

Primary practice location

4209 W Shamrock LN Unit C
McHenry, IL 60050-8700

Mailing address

4209 W Shamrock LN
McHenry, IL 60050-8700
Phone (847) 636-4070

Other practice location 1

4209 W Shamrock Ln Unit B
McHenry, IL 60050-8700
Phone (815) 344-9443

Other practice location 2

500 Coventry Ln Ste 260
Crystal Lake, IL 60014-7592
Phone (815) 344-9443

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180.007895ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Therapeutic Services & Psychodiagnostics Professional Past Accepting new patients
Eannarino Therapeutic Services LLC Professional 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1083992861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 W SHAMROCK LN",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508700",
            "telephone_number": "847-636-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 W SHAMROCK LN UNIT C",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508700",
            "telephone_number": "815-344-9443",
            "fax_number": "815-344-9445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4209 W Shamrock Ln Unit B",
            "address_purpose": "LOCATION",
            "city": "McHenry",
            "state": "IL",
            "postal_code": "600508700",
            "country_code": "US",
            "telephone_number": "815-344-9443",
            "fax_number": "815-344-9445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Coventry Ln Ste 260",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600147592",
            "country_code": "US",
            "telephone_number": "815-344-9443",
            "fax_number": "815-344-9445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EANNARINO",
        "first_name": "AMANDA",
        "credential": "MA LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.