Active NPI
Amanda McCarthy, LPC
- Professional Counselor
- Dekalb, IL
National Provider Identifier
1487823977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- Allied Health and Communicative Disorders
323J Wirtz Hall Northern Illinois University
Dekalb, IL 60115 - Phone
- (815) 753-1893
- NPI assigned
- Feb 28, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IL | Primary |
Addresses
Primary practice location
Allied Health and Communicative Disorders
323J Wirtz Hall Northern Illinois University
Dekalb, IL 60115
Mailing address
Northern Illinois University
Department of Communicative Disorders 323J Wirtz Hall
Dekalb, IL 60115
Phone (815) 753-1893
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178005445 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204156800000",
"number": "1487823977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NORTHERN ILLINOIS UNIVERSITY",
"address_2": "DEPARTMENT OF COMMUNICATIVE DISORDERS 323J WIRTZ HALL",
"city": "DEKALB",
"state": "IL",
"postal_code": "60115",
"telephone_number": "815-753-1893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ALLIED HEALTH AND COMMUNICATIVE DISORDERS",
"address_2": "323J WIRTZ HALL NORTHERN ILLINOIS UNIVERSITY",
"city": "DEKALB",
"state": "IL",
"postal_code": "60115",
"telephone_number": "815-753-1893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "AMANDA",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-28",
"last_updated": "2008-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dekalb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.