Amanda K Donald, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.013667 Issued in IL

Practice address

1003 N Cummings LN
Washington, IL 61571-9646

Phone

(309) 444-1000

Fax

(309) 444-7000

NPI assigned

Feb 6, 2023

Last updated

Feb 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• One Counseling and Wellness

  • Marriage & Family Therapist
  • Washington, IL
  • NPI 1184998692
  NPD

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1679279244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CENTRAL AVE",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615711508",
            "telephone_number": "309-361-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 N CUMMINGS LN",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615719646",
            "telephone_number": "309-444-1000",
            "fax_number": "309-444-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALD",
        "first_name": "AMANDA",
        "middle_name": "K",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.013667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Denney I
• Thomas Kevin Dickerson, D.C., D.I.C.C.P.
• David E. Dillon, ED.D.
• District 50 Schools Washington
• Claire Ditman
• Christopher Lee Donner
• Brittany J Drury
• Patricia A Duckwiler, LCSW
• Alecsander Dutko
• Kimberly Ann Earle

• Mental Health Counselor in Washington, IL
• Providers in Washington, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.