Organization Active NPI

Amanda Emerson, P.a.

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1194459917
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AMANDA EMERSON, P.A.
Practice address
1830 Sherman Ave Ste 401
Evanston, IL 60201-3774
Phone
(847) 852-7496
Fax
(870) 206-8213
NPI assigned
Jul 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Amanda Sue Emerson, LCSWNPI 1659701654
Title
President
Phone
(847) 852-7496

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1830 Sherman Ave Ste 401
Evanston, IL 60201-3774

Mailing address

1830 Sherman Ave Ste 401
Evanston, IL 60201-3774
Phone (847) 852-7496

Other identifiers 2

IdentifierTypeStateIssuer
1659701654MedicaidAR
1194459917OtherARGROUP

Other names 1

  • Mind Align Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

361 Southwest Dr
Jonesboro, AR 72401
Phone (817) 217-8151

2020 W 3rd St
Ste 601B
Little Rock, AR 72205

2020 W 3rd St
Ste 605B
Little Rock, AR 72205

425 W Broadway St
Ste K
North Little Rock, AR 72114
Phone (870) 206-8212

1830 Sherman Ave
Ste 401
Evanston, IL 60201
Phone (847) 852-7496

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1194459917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 SHERMAN AVE STE 401",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013774",
            "telephone_number": "847-852-7496",
            "fax_number": "870-206-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 SHERMAN AVE STE 401",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013774",
            "telephone_number": "847-852-7496",
            "fax_number": "870-206-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA EMERSON, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-16",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "EMERSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-852-7496",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659701654",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "1194459917",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Align Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.