Couch to Couch Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

149.018064 Issued in IL

Legal business name

COUCH TO COUCH COUNSELING

Practice address

300 W Washington St Ste 201C
Oregon, IL 61061-1600

Phone

(815) 973-1805

NPI assigned

Aug 23, 2017

Organization subpart

No

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

Authorized official

Name

Amanda Bordner, LCSWNPI 1407371826

Title

Therapist

Phone

(815) 973-1805

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Bordner, LCSW

  • Clinical Social Worker
  • Oregon, IL
  • NPI 1407371826
  NPD Authorized official

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1467979211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W WASHINGTON ST STE 201C",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610611600",
            "telephone_number": "815-973-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WASHINGTON ST STE 201C",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610611600",
            "telephone_number": "815-973-1805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S 4th St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "IL",
            "postal_code": "610611609",
            "country_code": "US",
            "telephone_number": "815-973-1805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUCH TO COUCH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "BORDNER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "815-973-1805",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149.018064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Boyd
• Chad E. Brinkmann, P.T.
• Kacey Frances Cain, RN
• Cardiorenal Therapeutics Telemed
• Jeffrey Randall Cates, D.C., M.S.
• County of Ogle
• John Brian Crisham, D.M.D.
• Krane T Cupples, D.C.
• Jill Davis-Kuzmanich
• Connie Kaye Davis, BA, MHP

• Community/Behavioral Health Agency in Oregon, IL
• Providers in Oregon, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.