Active NPI
Amanda Lai Wai Kuen, MA, NCC, LCPC
- Professional Counselor
- Hoffman Estates, IL
National Provider Identifier
1194337766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.016096
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180.016096 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind PC | Professional | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.