Amanda Barr
Individual provider Active NPI Mental Health Counselor · Northfield, IL
NPI 1285472159 · NPPES record last updated Jul 16, 2024
Key facts
- NPI
- 1285472159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 405 Central Ave
Northfield, IL 60093-3006 - Phone
- (847) 441-5600
- NPI assigned
- Jul 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250725003883 | IL | Practitioner - Mental Health Counselor | 6204343114 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180009449 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Josselyn Center NFP | Current |
Accepting new patients | |
| The Josselyn Center NFP | Current |
Accepting new patients |
Locations
1135 Skokie Blvd
Northbrook, IL 60062
Phone (773) 430-3351
405 Central Ave
Northfield, IL 60093
Phone (847) 441-5603
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
405 Central Ave
Northfield, IL 60093-3006
Mailing address
405 Central Ave
Northfield, IL 60093-3006
Other providers in Northfield, IL
- Ay Behavioral Health Services
- Rachel Ann Bader
- Megan Bailey
- Jasmin Barajas
- Barbara Mokrzycka-Pys, DC, S.C.
- Freya H Barr
- Leilani Raquel Barrera
- Elizabeth Barrow
- Barry M Leavitt and Associates
- Olivia Bayer
All providers in Northfield, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.