Individual provider Active NPI

Amber Bond, LCPC

  • Mental Health Counselor
  • Skokie, IL
National Provider Identifier
1386016178
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240402001518 IL Practitioner - Mental Health Counselor 7618348558 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service of Glencoe CurrentSince Jan 1, 2024 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

Verify at the official NPI Registry.