Individual provider Active NPI

Amanda Lai Wai Kuen, MA, NCC, LCPC

  • Professional Counselor
  • Hoffman Estates, IL
National Provider Identifier
1194337766
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.016096 Issued in IL
Practice address
2500 W Higgins Rd Ste 260
Hoffman Estates, IL 60169-2042
Phone
(224) 801-1779
NPI assigned
Aug 17, 2020
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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 180.016096 IL Primary

Addresses

Primary practice location

2500 W Higgins Rd Ste 260
Hoffman Estates, IL 60169-2042

Mailing address

2150 E Lake Cook Rd FL 9
Buffalo Grove, IL 60089-1862
Phone (224) 801-1779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251015002492 IL Practitioner - Mental Health Counselor 3779070594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180.016096ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind PC Professional CurrentSince Sep 1, 2025 Accepting new patients

Locations

416 Main St
Ste 601
Peoria, IL 61602
Phone (217) 341-6550

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, 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": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1194337766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 E LAKE COOK RD FL 9",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891862",
            "telephone_number": "224-801-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W HIGGINS RD STE 260",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692042",
            "telephone_number": "224-801-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI WAI KUEN",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "MA, NCC, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.016096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.