Active NPI
Amber Bond, LCPC
- Mental Health Counselor
- Skokie, IL
National Provider Identifier
1386016178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 5150 Golf Rd
Skokie, IL 60077-1283 - Phone
- (847) 745-5448
- NPI assigned
- Oct 20, 2015
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
5150 Golf Rd
Skokie, IL 60077-1283
Mailing address
5150 Golf Rd
Skokie, IL 60077-1283
Phone (847) 745-5448
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240402001518 | IL | Practitioner - Mental Health Counselor | 7618348558 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service of Glencoe | Current | Accepting new patients |
Locations
320 Tudor Ct
#2
Glencoe, IL 60022
675 Village Ct
Glencoe, IL 60022
Phone (847) 835-4112
361 Park Ave
Ste 202
Glencoe, IL 60022
Phone (847) 835-5111
675 Village Ct
Ste 2
Glencoe, IL 60022
Phone (847) 835-5111
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1386016178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 GOLF RD",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771283",
"telephone_number": "847-745-5448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5150 GOLF RD",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771283",
"telephone_number": "847-745-5448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOND",
"first_name": "AMBER",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-20",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.