Individual provider Active NPI

Amy Nolan, MS, ALMFT

  • Mental Health Counselor
  • Algonquin, IL
National Provider Identifier
1467096024
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
208000773 Issued in IL
Practice address
215 N Main St
Algonquin, IL 60102-2448
Phone
(224) 678-9033
Fax
(224) 678-9493
NPI assigned
Nov 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 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 CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 208000773 IL Primary

Addresses

Primary practice location

215 N Main St
Algonquin, IL 60102-2448

Mailing address

215 N Main St
Algonquin, IL 60102-2448
Phone (224) 678-9033

Other practice location 1

1644 W Colonial Pkwy
Inverness, IL 60067-1207
Phone (847) 776-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
208000773ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1467096024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N MAIN ST",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601022448",
            "telephone_number": "224-678-9033",
            "fax_number": "224-678-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N MAIN ST",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601022448",
            "telephone_number": "224-678-9033",
            "fax_number": "224-678-9493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1644 W Colonial Pkwy",
            "address_purpose": "LOCATION",
            "city": "Inverness",
            "state": "IL",
            "postal_code": "600671207",
            "country_code": "US",
            "telephone_number": "847-776-4500",
            "fax_number": "847-776-4724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "AMY",
        "credential": "MS, ALMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "208000773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.