Amanda Sheppard, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.009734 Issued in IL

Practice address

102 E Lafayette St
Monticello, IL 61856-1954

Phone

(217) 373-2428

NPI assigned

Aug 6, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Health and Wellness Collective, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monticello, IL
  • NPI 1992209274
  NPD Authorized official
• Lottie Brogan Counseling Services

  • Community/Behavioral Health Agency
  • Monticello, IL
  • NPI 1053787598
  NPD (past) Authorized official

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1235443862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E LAFAYETTE ST",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618561954",
            "telephone_number": "217-369-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E LAFAYETTE ST",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618561954",
            "telephone_number": "217-373-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "AMANDA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Schall, DMD
• Lindsey Beth Schreiber, PA
• Kalynn Nicole Schriefer, DMD
• Senior Care Pharmacy Services LLC
• Antonio S Serna, APRN
• Habeeba Sirajuddin
• Jennifer Gibson Smith, MS CCC-SLP
• Kelly Lynn Smith, PHARMD
• Steven J Sparenberg, DO
• Kendall Stetzner

• Professional Counselor in Monticello, IL
• Providers in Monticello, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.