Amanda Stout, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

750 Broadway Ave E
Mattoon, IL 61938-4610

Phone

(217) 238-5700

Fax

(217) 238-5767

NPI assigned

Dec 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Hoelscher Other name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coles County Mental Health Association Inc 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Coles County Mental Health Association, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mattoon, IL
  • NPI 1942203914

  IL

  Medicare reassignment Care Compare group NPD
• Coles County Mental Health Association, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Effingham, IL
  • NPI 1841738283
  NPD
• Coles County Mental Health Association, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mattoon, IL
  • NPI 1184393118
  NPD

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1477097210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 BROADWAY AVE E",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384610",
            "telephone_number": "217-238-5700",
            "fax_number": "217-238-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 BROADWAY AVE E",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384610",
            "telephone_number": "217-238-5700",
            "fax_number": "217-238-5767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "626 W Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "IL",
            "postal_code": "619202444",
            "country_code": "US",
            "telephone_number": "217-238-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOUT",
        "first_name": "AMANDA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HOELSCHER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jamie Devon Stephens, D.C.
• Dennis Lee Stevens, BC-HIS
• Jeremy Shane Stevens, M.D.
• Anise Stitnizky, BS
• Madeleine Stone
• Derek Stout, D.O.
• Chris Strole
• Amanda Stroud, APN
• Rachel Stuckey, LCSW
• Kyle Stuenke

• All providers in Mattoon, IL
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.