Individual provider Active NPI

Amanda Felgenhauer

  • Professional Counselor
  • Orland Park, IL
National Provider Identifier
1750816856
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178016870 Issued in IL
Practice address
15303 S 94TH Ave Ste 250
Orland Park, IL 60462-3825
Phone
(888) 428-7890
NPI assigned
Apr 26, 2017
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178016870 IL Primary
Behavior Technician 106S00000X BACB360427 IL

Addresses

Primary practice location

15303 S 94TH Ave Ste 250
Orland Park, IL 60462-3825

Mailing address

7774 W 174TH Ave
Lowell, IN 46356-9804

Other practice location 1

452 behavioral perspective
Aurora, IL 60502
Phone (708) 606-5407

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
178016870ILMDProfessional Counselor
BACB360427ILMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewood Clinical Services, P.C. CurrentSince Aug 7, 2023 Accepting new patients

Locations

15303 S 94th Ave
Ste 250
Orland Park, IL 60462
Phone (708) 505-5205

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": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1750816856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7774 W 174TH AVE",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463569804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15303 S 94TH AVE STE 250",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623825",
            "telephone_number": "888-428-7890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "452 behavioral perspective",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "60502",
            "country_code": "US",
            "telephone_number": "708-606-5407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELGENHAUER",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178016870",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "BACB360427",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.