Amanda Brooke Easton, CRC, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180008978 Issued in IL

Practice address

300 W Adams St
Suite 514
Chicago, IL 60606-5101

Phone

(312) 578-9990

NPI assigned

Apr 28, 2014

Last updated

Apr 28, 2014By the provider in NPPES

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

• Amanda Brooke Tashjian Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amanda Brooke Easton, Clinical Professional Counseling, LLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1013310945
  NPD (past) Authorized official

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1649680885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 S INDIANA AVE",
            "address_2": "APARTMENT 324",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161390",
            "telephone_number": "312-622-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W ADAMS ST",
            "address_2": "SUITE 514",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606065101",
            "telephone_number": "312-578-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTON",
        "first_name": "AMANDA",
        "middle_name": "BROOKE",
        "credential": "CRC, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "TASHJIAN",
            "middle_name": "BROOKE",
            "credential": "CRC, LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abraham James Eastman, PHD
• Hannah Marie Eastman
• Lindsey Eastman
• Meghan Marie Eastman, MD
• Marjean E. Eastmond, M.D.
• Deborah Easton
• Michael Scott Easton, M.D.
• Nancy L. Easton, PSY.D.
• Easy Lab Services Inc
• Easy Optical Eye Care Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.