Amaryllis Counseling Services PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AMARYLLIS COUNSELING SERVICES PLLC

Practice address

800 S Milwaukee Ave Ste 105
Libertyville, IL 60048-3268

Phone

(224) 856-8829

NPI assigned

Apr 2, 2025

Last updated

Apr 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Wagner, LCSWNPI 1881050607

Title

Owner/Therapist

Phone

(224) 856-8829

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Wagner, LCSW

  • Clinical Social Worker
  • Libertyville, IL
  • NPI 1881050607
  Medicare reassignment NPD Authorized official
• Elisabeth A. V. Desapereira, MD

  • Psychiatry Physician
  • Libertyville, IL
  • NPI 1134196678
  NPD (past)
• Brett Alan Sisler, LCSW LICENSED CLINIC

  • Clinical Social Worker
  • Libertyville, IL
  • NPI 1609090844
  NPD (past)

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1184428922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 CARRIAGE HILL CT",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600429597",
            "telephone_number": "224-856-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MILWAUKEE AVE STE 105",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483268",
            "telephone_number": "224-856-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARYLLIS COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "224-856-8829",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Estabrook Allison, CRNA
• Leena H.a.H Almarzouqi, M.D
• Arkan Alrashid, M.D.
• Juan Alzate, MD
• Christopher Amann, MD
• American Center for Spine & Neurosurgery LLC
• American Drug Stores LLC (Osco Drug #0606)
• Amg Endoscopy Center LTD
• Ali Amro, M.D.
• Nicole Amsberry, PTA

• Clinical Social Worker in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.