Amy Moran, LCPC, CST

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180008715 Issued in IL

Practice address

945 W George St Ste 201
Chicago, IL 60657-7185

Phone

(630) 319-1244

NPI assigned

Oct 27, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Spark Chicago Therapy LLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1588139877
  NPD Authorized official
• Enliven Couples Therapy, Inc.

  • Marriage & Family Therapist
  • Chicago, IL
  • NPI 1467838276
  NPD (past)

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1871893560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 W GEORGE ST STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577185",
            "telephone_number": "630-319-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 W GEORGE ST STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577185",
            "telephone_number": "630-319-1244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1156 W Shure Dr Ste 180",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600047803",
            "country_code": "US",
            "telephone_number": "847-392-8820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 E Washington St Ste 1725",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60602",
            "country_code": "US",
            "telephone_number": "630-319-1244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAN",
        "first_name": "AMY",
        "credential": "LCPC, CST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178-007603",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruben Morales, LCPC
• Stephanie Morales
• Veronique Morales
• Wendy Gabriela Morales, M.D.
• Alexandra Moran, PA-C
• Angelica Moran
• Casey Ann Moran, PA-C
• Cheryl J Moran
• Edith Moran, LCSW
• Gabrielle Moran, MHS, CF-SLP

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.