Individual provider Active NPI

Amara Rafiq, LPC

  • Professional Counselor
  • Lombard, IL
National Provider Identifier
1730820036
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.017738 Issued in IL
Practice address
998 N Lombard Rd
Lombard, IL 60148-1264
Phone
(630) 474-4414
NPI assigned
Apr 2, 2022
Last updated
Apr 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.017738 IL Primary

Addresses

Primary practice location

998 N Lombard Rd
Lombard, IL 60148-1264

Mailing address

6614 Lindbloom LN
Cherry Valley, IL 61016-9137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128003236 IL Practitioner - Mental Health Counselor 8325577851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Four Corners Wellness Center, LTDGroup PAC ID 3971017625, 7 clinicians

Practice addresses (Care Compare)

4001 N Perryville Rd
Loves Park, IL 61111-8644
Phone (815) 374-8887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.017738ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fourcorners Wellness Center, LTD CurrentSince Aug 17, 2025 Accepting new patients

Locations

4001 N Perryville Rd
Loves Park, IL 61111
Phone (815) 374-8887

Organizations & group practices 1

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": "1648857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648857600000",
    "number": "1730820036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6614 LINDBLOOM LN",
            "city": "CHERRY VALLEY",
            "state": "IL",
            "postal_code": "610169137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 N LOMBARD RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601481264",
            "telephone_number": "630-474-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFIQ",
        "first_name": "AMARA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-02",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.017738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.