Active NPI
Amanda Jean Evans, MA, LPC
- Professional Counselor
- Saint Charles, MO
National Provider Identifier
1871874461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2014027374
- Practice address
- 1360 S 5TH St Ste 394
Saint Charles, MO 63301-2459 - Phone
- (314) 246-0761
- NPI assigned
- Sep 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 7820 | MO | |
| Mental Health Counselor | 101YM0800X | 2014027374 | MO | |
| Professional Counselor | 101YP2500X | 2014027374 | MO | Primary |
Addresses
Primary practice location
1360 S 5TH St Ste 394
Saint Charles, MO 63301-2459
Mailing address
1360 S 5TH St Ste 394
Saint Charles, MO 63301-2459
Phone (314) 246-0761
Other practice location 1
400 N 5th St Ste 201
Saint Charles, MO 63301-1808
Phone (636) 238-2615
Other practice location 2
1310 Hrc Plaza Dr
Lake St Louis, MO 63367-1869
Phone (636) 339-4475
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7820 | MO | MD | Addiction (Substance Use Disorder) Counselor |
| 2014027374 | MO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turn on the Light Counseling Services, LLC | Mental Health | Current | Accepting new patients |
Locations
1360 S 5th St
Ste 394
Saint Charles, MO 63301
Phone (314) 246-0761
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.
-
- Mental Health Counselor
- Saint Charles, MO
- NPI 1508791641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1871874461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 S 5TH ST STE 394",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012459",
"telephone_number": "314-246-0761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 S 5TH ST STE 394",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012459",
"telephone_number": "314-246-0761"
}
],
"practiceLocations": [
{
"address_1": "400 N 5th St Ste 201",
"address_purpose": "LOCATION",
"city": "Saint Charles",
"state": "MO",
"postal_code": "633011808",
"country_code": "US",
"telephone_number": "636-238-2615",
"fax_number": "636-201-3379",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1310 Hrc Plaza Dr",
"address_purpose": "LOCATION",
"city": "Lake St Louis",
"state": "MO",
"postal_code": "633671869",
"country_code": "US",
"telephone_number": "636-339-4475",
"fax_number": "636-201-3379",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "AMANDA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-08",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MO",
"license": "7820",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2014027374",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2014027374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.