Amanda D. Pryor, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.010323 Issued in IL

Practice address

3400 W Stonegate Blvd Apt 814
Arlington Heights, IL 60005-1067

Phone

(773) 757-3539

NPI assigned

Aug 1, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Amanda D Pryor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Millennial Counseling

  • Professional Counselor
  • Arlington Heights, IL
  • NPI 1801312004
  NPD Authorized official
• Millennial Therapy PLLC

  • Mental Health Counselor
  • Tempe, AZ
  • NPI 1841962743
  NPD Authorized official

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1881118875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W STONEGATE BLVD APT 814",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051067",
            "telephone_number": "773-757-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W STONEGATE BLVD APT 814",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051067",
            "telephone_number": "773-757-3539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2140 Westview dr",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "60018",
            "country_code": "US",
            "telephone_number": "773-757-3539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18-5 E Dundee Rd",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "IL",
            "postal_code": "600107412",
            "country_code": "US",
            "telephone_number": "773-757-3539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "AMANDA",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010323",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.010323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "PRYOR",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Arlington Heights, IL
• Providers in Arlington Heights, 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 Feb 18, 2021; 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.