Individual provider Active NPI

Amanda Lee Latier, M.S., L.C.P.C.

  • Professional Counselor
  • Edwardsville, IL
National Provider Identifier
1386923118
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.007904 Issued in IL
Practice address
219 McKinley Ave
Edwardsville, IL 62025-2343
Phone
(618) 581-0356
NPI assigned
Aug 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.007904 IL Primary
Professional Counselor 101YP2500X 2012036938 MO

Addresses

Primary practice location

219 McKinley Ave
Edwardsville, IL 62025-2343

Mailing address

219 McKinley Ave
Edwardsville, IL 62025-2343
Phone (618) 581-0356

Other names 1

  • Amanda Latier Former name

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
I20260409003808 IL Practitioner - Mental Health Counselor 7618442393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

1095 University Dr
Edwardsville, IL 62025-3961
Phone (618) 656-1081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
180.007904ILMDProfessional Counselor
2012036938MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Development of California PC Past Accepting new patients

Organizations & group practices 2

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": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1386923118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 MCKINLEY AVE",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620252343",
            "telephone_number": "618-581-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 MCKINLEY AVE",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620252343",
            "telephone_number": "618-581-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATIER",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "M.S., L.C.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007904",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2012036938",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "LATIER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edwardsville, IL

Sources for this page

Verify at the official NPI Registry.