Individual provider Active NPI

Elizabeth D'Amore, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Peoria, IL
National Provider Identifier
1679206882
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209026621 Issued in IL
Practice address
2001 W Willow Knolls Dr Ste 110
Peoria, IL 61614-1262
Phone
(309) 396-6425
Fax
(309) 326-4413
NPI assigned
Jul 5, 2022
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209026621 IL Primary

Addresses

Primary practice location

2001 W Willow Knolls Dr Ste 110
Peoria, IL 61614-1262

Mailing address

2001 W Willow Knolls Dr Ste 110C
Peoria, IL 61614-1290
Phone (309) 396-6425

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
209026621ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Center for Women's Mental Health and Psychiatry Psychiatric/Mental Health CurrentSince Feb 18, 2024 Accepting new patients
Mind Body Co-Op Psychiatric/Mental Health PastSince Oct 1, 2022 Accepting new patients
Mind Body Co-Op Registered Nurse PastSince Jul 1, 2022 Accepting new patients

Locations

2001 W Willow Knolls Dr
Ste 110
Peoria, IL 61614
Phone (309) 396-6425

2001 W Willow Knolls Dr
Ste 110C
Peoria, IL 61614

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1679206882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W WILLOW KNOLLS DR STE 110C",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141290",
            "telephone_number": "309-396-6425",
            "fax_number": "309-326-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W WILLOW KNOLLS DR STE 110",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141262",
            "telephone_number": "309-396-6425",
            "fax_number": "309-326-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMORE",
        "first_name": "ELIZABETH",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209026621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.