Individual provider Active NPI

Amanda Aller Goldman, PHD, LCPC

  • Professional Counselor
  • Aurora, IL
National Provider Identifier
1811090343
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180005461 Issued in IL
Practice address
2755 Church Rd
Aurora, IL 60502-9745
Phone
(630) 486-3800
Fax
(630) 486-3800
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 180005461 IL
Professional Counselor 101YP2500X 180005461 IL Primary

Addresses

Primary practice location

2755 Church Rd
Aurora, IL 60502-9745

Mailing address

146 South Lincoln Avenue
Aurora, IL 60505-4236
Phone (630) 892-3844

Other practice location 1

31 W Downer Pl Ste 101
Aurora, IL 60506-5126
Phone (630) 907-7534

Other practice location 2

31 W Downer Pl Ste 304
Aurora, IL 60506-5112
Phone (331) 758-1166

Other identifiers 2

IdentifierTypeStateIssuer
119856343168OtherHUMANA
0001634918OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Amanda Aller Lowe Former name

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
I20250421001957 IL Practitioner - Mental Health Counselor 8123499712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Aurora Counseling LTDGroup PAC ID 6305367392, 2 clinicians

Practice addresses (Care Compare)

2755 Church Rd
Apt 2
Aurora, IL 60502-9764
Phone (630) 486-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
180005461ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
East Aurora Counseling LTD Professional CurrentSince Feb 16, 2025 Accepting new patients
Judah Robinson Foundation NFP Professional CurrentSince Feb 1, 2022 Accepting new patients

Locations

31 W Downer Pl
Ste 304
Aurora, IL 60506
Phone (331) 758-1166

31 W Downer Pl
Ste 101
Aurora, IL 60506
Phone (630) 907-7534

143 S Lincoln Ave
Ste I
Aurora, IL 60505

Organizations & group practices 2

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1811090343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 SOUTH LINCOLN AVENUE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605054236",
            "telephone_number": "630-892-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 CHURCH RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029745",
            "telephone_number": "630-486-3800",
            "fax_number": "630-486-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 W Downer Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605065126",
            "country_code": "US",
            "telephone_number": "630-907-7534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 W Downer Pl Ste 304",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605065112",
            "country_code": "US",
            "telephone_number": "331-758-1166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "AMANDA",
        "middle_name": "ALLER",
        "name_prefix": "Dr.",
        "credential": "PHD, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "180005461",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180005461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "119856343168",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001634918",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "LOWE",
            "middle_name": "ALLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.