Individual provider Active NPI

Amy Renee Hofmeister, MSED, LCPC

  • Counselor
  • Macomb, IL
National Provider Identifier
1760609507
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
180004556 Issued in IL
Practice address
460 S Deer Rd
Macomb, IL 61455-2602
Phone
(309) 575-3960
Fax
(309) 575-3988
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 180004556 IL Primary

Addresses

Primary practice location

460 S Deer Rd
Macomb, IL 61455-2602

Mailing address

460 S Deer Rd
Macomb, IL 61455-2602
Phone (309) 575-3960

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
I20240809002766 IL Practitioner - Mental Health Counselor 9234590589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapeutic Solutions of Macomb LLCGroup PAC ID 1052854288, 8 clinicians

Practice addresses (Care Compare)

460 S Deere Rd
Macomb, IL 61455
Phone (309) 333-9829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180004556ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Solutions of Macomb LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

460 S Deer Rd
Macomb, IL 61455
Phone (309) 333-9829

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1760609507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 S DEER RD",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552602",
            "telephone_number": "309-575-3960",
            "fax_number": "309-575-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 S DEER RD",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552602",
            "telephone_number": "309-575-3960",
            "fax_number": "309-575-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFMEISTER",
        "first_name": "AMY",
        "middle_name": "RENEE",
        "credential": "MSED, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2024-07-23",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180004556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, IL

Sources for this page

Verify at the official NPI Registry.