Amanda Lynne Meadows

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4805C Broadway St
Mount Vernon, IL 62864-6702

Phone

(224) 283-6153

NPI assigned

Jun 6, 2023

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1801580683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W ALLMON ST",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811204",
            "telephone_number": "618-472-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805C BROADWAY ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646702",
            "telephone_number": "224-283-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "AMANDA",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scherrie Lynn McLaskey, FNP-C
• Mallory McMahan
• Chelsea McMahon, MA
• Kent McMahon, D.C.
• Madison Jade McWhorter
• Doris Meadows, RNFA
• Allie McKenzie Melvin, COTA
• Ashley Ann Melvin, MHP
• Teresa L Mendenhall, RN
• Kinny Merchant, OT

• Mental Health Counselor in Mount Vernon, IL
• Providers in Mount Vernon, 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 Jun 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.