Nourish Well Counseling, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NOURISH WELL COUNSELING, PLLC

Practice address

526 Crescent Blvd Ste 210
Glen Ellyn, IL 60137-4177

Phone

(847) 533-9760

NPI assigned

Sep 30, 2024

Last updated

Sep 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Scanlon, MA, LCPCNPI 1083727432

Title

LCPC/ Owner

Phone

(847) 533-9760

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Scanlon, LCPC

  • Professional Counselor
  • Hinsdale, IL
  • NPI 1083727432
  NPD Authorized official

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1407674492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 CRESCENT BLVD STE 210",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374177",
            "telephone_number": "847-533-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 CRESCENT BLVD STE 210",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374177",
            "telephone_number": "847-533-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH WELL COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "SCANLON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "LCPC/ OWNER",
        "authorized_official_telephone_number": "847-533-9760",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Nisar, OD
• Abigail Nix, MS, LAT, ATC
• Norma C. Berman, D. C. P. C.
• Northwestern Medical Faculty Foundation (Northwestern Medical Group)
• Grace E Norton
• Stephanie Caballero Novak, LCSW, CRSS
• Nurtured Healing and Wellness LLC
• Nurturing Womanhood Therapy, PLLC
• Daniel Thomas O Carroll, DPM, DABPS
• Margaret O'Connor

• Mental Health Counselor in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.