Active NPI
Amy Nolan, MS, ALMFT
- Mental Health Counselor
- Algonquin, IL
National Provider Identifier
1467096024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 208000773
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 208000773 | IL | MD | Mental 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.