Individual provider Active NPI

Amber Phelps Schweda, LCPC

  • Professional Counselor
  • Mount Vernon, IL
National Provider Identifier
1326470121
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.008725 Issued in IL
Practice address
4114 N Water Tower Place, Suite C
Mount Vernon, IL 62864-6295
Phone
(618) 244-0212
Fax
(618) 244-0535
NPI assigned
Aug 2, 2013
Last updated
Apr 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 180.008725 IL
Professional Counselor 101YP2500X 180.008725 IL Primary

Addresses

Primary practice location

4114 N Water Tower Place, Suite C
Mount Vernon, IL 62864-6295

Mailing address

4114 N Water Tower Place, Suite C
Mount Vernon, IL 62864-6295
Phone (618) 244-0212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180.008725ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Integrated Health, PLLC Counselor Current Accepting new patients
Dynamic Counseling and Consultation Services PastSince Sep 5, 2018 Accepting new patients
Cornerstone Family Counseling, LLC Past Accepting new patients

Locations

3 Cusumano Professional Plaza Dr
#B
Mount Vernon, IL 62864
Phone (618) 316-7080

Organizations & group practices 3

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": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1326470121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 N WATER TOWER PLACE, SUITE C",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646295",
            "telephone_number": "618-244-0212",
            "fax_number": "618-244-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 N WATER TOWER PLACE, SUITE C",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646295",
            "telephone_number": "618-244-0212",
            "fax_number": "618-244-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWEDA",
        "first_name": "AMBER",
        "middle_name": "PHELPS",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.008725",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IL

Sources for this page

Verify at the official NPI Registry.