Amy E Matthews, LCPC, CADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.007316 Issued in IL

Practice address

12 W Wilson St
Batavia, IL 60510

Phone

(773) 516-3134

NPI assigned

Feb 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Prairie Wellness Counseling Center, P.C.

  • Counselor
  • Batavia, IL
  • NPI 1245661057
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1386966372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W WILSON ST",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605102891",
            "telephone_number": "773-516-3134",
            "fax_number": "773-516-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W WILSON ST",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "60510",
            "telephone_number": "773-516-3134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1915 W Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Broadview",
            "state": "IL",
            "postal_code": "601552925",
            "country_code": "US",
            "telephone_number": "708-345-8422",
            "fax_number": "708-344-2944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "LCPC, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "26021",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCPC-STATE LICENSED CLINICAL PROFESSIONAL COUNSELOR",
            "identifier": "180.007316",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCC-NATIONAL CERTIFIED COUNSELOR",
            "identifier": "219970",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CADC--STATE CERTIFIED ALCOHOL AND DRUG COUNSELOR LICENSE",
            "identifier": "26021",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Marquez, MA
• Jessica Martinez, SLPD, CCC-SLP
• Mary McMillan LCSW
• Mary Christine Masus, DT
• Matthew R. Murray PLLC
• Brianna McBeth
• Heaven McCoy
• Mary Christine McFarland, MSW
• Staci Marie McFarlane, M.S., CCC-SLP
• Deborah Ann McGrath, MS,LCPC

• Professional Counselor in Batavia, IL
• Providers in Batavia, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.