Individual provider Active NPI

Amie J Bilson, LPC, RN

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1629530563
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178013492 Issued in IL
Practice address
1147 W Ohio St Ste 103
Chicago, IL 60642-5874
Phone
(312) 772-9796
NPI assigned
Apr 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Community Health Registered Nurse 163WC1500X 041374632 IL
Professional Counselor 101YP2500X 178013492 IL Primary

Addresses

Primary practice location

1147 W Ohio St Ste 103
Chicago, IL 60642-5874

Mailing address

3909 Brookside Dr
Rapid City, SD 57702-2218
Phone (412) 638-7190

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
178013492ILMDProfessional Counselor
041374632ILMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Joy, P.C. Professional CurrentSince Nov 1, 2020 Accepting new patients

Locations

53 W Jackson Blvd
Ste 1201
Chicago, IL 60604
Phone (312) 772-9796

1147 W Ohio St
Ste 103
Chicago, IL 60642
Phone (312) 772-9796

19630 Governors Hwy
Ste 5
Flossmoor, IL 60422
Phone (708) 481-4257

112 Boeykens Pl
Ste 4D
Normal, IL 61761

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1629530563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 BROOKSIDE DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022218",
            "telephone_number": "412-638-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 W OHIO ST STE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425874",
            "telephone_number": "312-772-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILSON",
        "first_name": "AMIE",
        "middle_name": "J",
        "credential": "LPC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "IL",
            "license": "041374632",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178013492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.