East Aurora Counseling LTD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

EAST AURORA COUNSELING LTD

Practice address

2755 Church Rd
Aurora, IL 60502-9745

Phone

(630) 486-3800

NPI assigned

Nov 3, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Aller Goldman, LCPCNPI 1811090343

Title

Owner

Phone

(630) 486-3800

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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

• Amanda Aller Goldman, PHD, LCPC

  • Professional Counselor
  • Aurora, IL
  • NPI 1811090343
  Medicare reassignment Care Compare group NPD Authorized official
• Patrick Thomas Noonan

  • Mental Health Counselor
  • McHenry, IL
  • NPI 1205352192
  Medicare reassignment Care Compare group NPD
• Lauren J Granderson

  • Student in an Organized Health Care Education/Training Program
  • Aurora, IL
  • NPI 1336084821
  NPD (past)

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1598277147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 CHURCH RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029745",
            "telephone_number": "630-486-3800",
            "fax_number": "630-486-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 CHURCH RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029745",
            "telephone_number": "630-486-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 W Downer Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605065126",
            "country_code": "US",
            "telephone_number": "630-907-7534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAST AURORA COUNSELING LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "ALLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-486-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312961335001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "1205352192",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin R Dwyer, RD
• Jude Dzurak
• Cynthia Eady
• Early Ascent ABA LLC
• Early Expressions
• Matthew D Eastwood, DPT
• Oliva Ebbert
• Echofast
• Lorene S Eckberg, MD
• Taylor Amanda Eckberg

• Professional Counselor in Aurora, IL
• Providers in Aurora, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.