NPIMap

Organization Active NPI

Amy C Champion, LLC

Doing business as Champion Consulting

  • Professional Counselor
  • O'Fallon, IL
National Provider Identifier
1508536939
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
AMY C CHAMPION, LLC
Doing business as
Champion Consulting
Practice address
1115 Frontage Rd Ste B
O Fallon, IL 62269-2093
Phone
(618) 792-5200
NPI assigned
Sep 16, 2021
Last updated
Sep 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Amy Champion, LCPCNPI 1285782474
Title
Licensed Clinical Professional Coun
Phone
(618) 792-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1115 Frontage Rd Ste B
O Fallon, IL 62269-2093

Mailing address

1115 Frontage Rd Ste B
O Fallon, IL 62269-2093
Phone (618) 792-5200

Other names 1

  • Champion Consulting Doing business as

National Provider Directory

National Provider Directory

Locations

1115 Frontage Rd
Ste B
O Fallon, IL 62269
Phone (480) 242-6494

820 W Highway 50
Ste A
O Fallon, IL 62269
Phone (618) 792-5200

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1508536939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 FRONTAGE RD STE B",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692093",
            "telephone_number": "618-792-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 FRONTAGE RD STE B",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692093",
            "telephone_number": "618-792-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY C CHAMPION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "CHAMPION",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "LICENSED CLINICAL PROFESSIONAL COUN",
        "authorized_official_telephone_number": "618-792-5200",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in O'Fallon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.