Individual provider Active NPI

Amanda Cutting, A.T.R., L.C.P.C.

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1457731820
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.009619 Issued in IL
Practice address
1934 N Washtenaw Ave
#316
Chicago, IL 60647-4279
Phone
(773) 495-1844
NPI assigned
Jun 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.009619 IL Primary

Addresses

Primary practice location

1934 N Washtenaw Ave
#316
Chicago, IL 60647-4279

Mailing address

1934 N Washtenaw Ave
#316
Chicago, IL 60647-4279
Phone (773) 495-1844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180.009619ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Metamorph Therapy PLLC CurrentSince Feb 11, 2024 Accepting new patients

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": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1457731820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 N WASHTENAW AVE",
            "address_2": "#316",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474279",
            "telephone_number": "773-495-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 N WASHTENAW AVE",
            "address_2": "#316",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474279",
            "telephone_number": "773-495-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTTING",
        "first_name": "AMANDA",
        "credential": "A.T.R., L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.