Amanda B Rockey, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180006676 Issued in IL

Practice address

920 W Custer Ave
Pontiac, IL 61764-1067

Phone

(815) 844-6109

Fax

(815) 844-3561

NPI assigned

Nov 5, 2010

Last updated

Sep 29, 2022By the provider in NPPES

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

Other names 1

• Amanda B Kennedy Former name

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

Specialty

Mental Health Counselor

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Illinois Valley Counseling ServicesGroup PAC ID 0244467066, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Illinois Valley Counseling Services

  • Clinical Social Worker
  • Ottawa, IL
  • NPI 1134568249
  Medicare reassignment Care Compare group NPD
• Crossroads Counseling Services, PLLC

  • Adult Mental Health Clinic/Center
  • Morris, IL
  • NPI 1427205111

  Professional

  NPD (past)

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1891096954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 W CUSTER AVE",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641067",
            "telephone_number": "815-844-6109",
            "fax_number": "815-844-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W CUSTER AVE",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641067",
            "telephone_number": "815-844-6109",
            "fax_number": "815-844-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKEY",
        "first_name": "AMANDA",
        "middle_name": "B",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-05",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "KENNEDY",
            "middle_name": "B",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Colleen Elizabeth Regnier, MS CCC-SLP
• Jaime Ridgway, OTR L
• John Rinker, DO
• John Michael Rinker, M.D.
• Judy Ripsch
• Brittany L Rodriguez
• Andrea K Rogers, MHP
• Leslie Romersberger
• Joe Ronaldson, MA
• Rooks Creek CC School Dist 425

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.