Alexander Amu, LCPC, CCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.007733 Issued in IL

Practice address

841 Poplar Point LN
Loganville, GA 30052-4843

Phone

(773) 981-0047

NPI assigned

Oct 30, 2012

Last updated

Mar 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1528312576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 POPLAR POINT LN",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524843",
            "telephone_number": "773-981-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 POPLAR POINT LN",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524843",
            "telephone_number": "773-981-0047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7345 S South Shore Dive",
            "address_2": "Apt. 304",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606493533",
            "country_code": "US",
            "telephone_number": "773-981-0047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMU",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "LCPC, CCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-30",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.007733",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007733",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.