Individual provider Active NPI

Amanda Wilhite, LCPC

  • Mental Health Counselor
  • Bloomingdale, IL
National Provider Identifier
1619397528
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.01265 Issued in IL
Practice address
125 Fairfield Way Ste 380
Bloomingdale, IL 60108-3701
Phone
(815) 295-5470
Fax
(224) 520-8790
NPI assigned
Apr 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 178009928 IL
Mental Health Counselor 101YM0800X 180.01265 IL Primary

Addresses

Primary practice location

125 Fairfield Way Ste 380
Bloomingdale, IL 60108-3701

Mailing address

1140 N McLean Blvd
Suite I
Elgin, IL 60123-1782
Phone (847) 695-3680

Other practice location 1

1140 N McLean Blvd
Suite I
Elgin, IL 60123-1782
Phone (847) 695-3680 ext. 235

Other names 1

  • Amanda Lewis Former name

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

LicenseStateTypeSpecialty
178009928ILMDCounselor
180.01265ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Essentially You Counseling and Wellness Services, LLC Mental Health PastSince Dec 1, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1619397528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 N MCLEAN BLVD",
            "address_2": "SUITE I",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231782",
            "telephone_number": "847-695-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 FAIRFIELD WAY STE 380",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601083701",
            "telephone_number": "815-295-5470",
            "fax_number": "224-520-8790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 N McLean Blvd",
            "address_2": "Suite I",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601231782",
            "country_code": "US",
            "telephone_number": "847-695-3680 x235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILHITE",
        "first_name": "AMANDA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178009928",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.01265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "LEWIS",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.