Courtney Alyse Aquino, MA

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

403 Municipal Dr
Carterville, IL 62918-2042

Phone

(855) 608-3560

Fax

(618) 956-9349

NPI assigned

Jan 10, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Courtney Alyse Butler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1629888789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W MAIN ST",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628962210",
            "telephone_number": "618-326-2772",
            "fax_number": "618-937-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 MUNICIPAL DR",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629182042",
            "telephone_number": "855-608-3560",
            "fax_number": "618-956-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUINO",
        "first_name": "COURTNEY",
        "middle_name": "ALYSE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "BUTLER",
            "middle_name": "ALYSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Esraa Aly, MSW
• Alyssa Anderson
• Martha Keenan Anderson, LPC
• Mary K Anderson, MSW,LSW
• Robert Anderson
• Dana Leigh Arnold, M.S. CCC-SLP
• Alexander J Ashby
• Kelsea Ashton, DMD
• Johna Atkinson
• Mandie E Bagwell, APN

• Counselor in Carterville, IL
• Providers in Carterville, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.