Amanda Klein, BA, MA, EDS

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

105 N Oak St
Trenton, IL 62293-1765

Phone

(618) 514-7204

NPI assigned

Nov 23, 2015

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

Other names 1

• Amanda Marsh-Mitchell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Master of Arts

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1700250065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N OAK ST",
            "city": "TRENTON",
            "state": "IL",
            "postal_code": "622931765",
            "telephone_number": "618-514-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N OAK ST",
            "city": "TRENTON",
            "state": "IL",
            "postal_code": "622931765",
            "telephone_number": "618-514-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "AMANDA",
        "credential": "BA, MA, EDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MARSH-MITCHELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carri A Haertling, PT
• Lisa Rae Haselhorst, R.D., L.D.N.
• Bailey Elizabeth Hopkins, OTR
• Katelyn Hughes
• Laura Jansen
• Angela K. Klein, CCC/SLP
• Craig Joseph Kohlbrecher, OTR/L, EMT
• Lynn Kunz, RPH
• Madeleine Martin Eckert, LPMT, MT-BC
• Medical Nutrition Therapists, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.