Individual provider Active NPI

Lisa M Amodeo, LCPC, CRADC

  • Professional Counselor
  • Barrington, IL
National Provider Identifier
1639601974
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180010582 Issued in IL
Practice address
400 E Main St
Suite 100
Barrington, IL 60010-3204
Phone
(888) 261-2178
Fax
(847) 847-7495
NPI assigned
Mar 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 32734 IL
Professional Counselor 101YP2500X 180010582 IL Primary

Addresses

Primary practice location

400 E Main St
Suite 100
Barrington, IL 60010-3204

Mailing address

400 E Main St
Suite 100
Barrington, IL 60010-3204
Phone (888) 261-2178

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
32734ILMDAddiction (Substance Use Disorder) Counselor
180010582ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority Past Accepting new patients
Barrington Behavioral Health & Wellness PC Past Accepting new patients

Organizations & group practices 2

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1639601974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "address_2": "SUITE 100",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103204",
            "telephone_number": "888-261-2178",
            "fax_number": "847-847-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "address_2": "SUITE 100",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103204",
            "telephone_number": "888-261-2178",
            "fax_number": "847-847-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMODEO",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "LCPC, CRADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "32734",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.