Active NPI
Amber McMahon, PSY.D., LCPC
- Mental Health Counselor
- Plainfield, IL
National Provider Identifier
1922428812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180009139
- Practice address
- 24012 W Renwick Rd Ste 204a
Plainfield, IL 60544-8733 - Phone
- (815) 676-4688
- NPI assigned
- Apr 18, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180009139 | IL | Primary |
Addresses
Primary practice location
24012 W Renwick Rd Ste 204a
Plainfield, IL 60544-8733
Mailing address
24012 W Renwick Rd Ste 204a
Plainfield, IL 60544-8733
Phone (815) 676-4688
Other names 1
- Dr. Amber Naroleski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 14, 2024 through May 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180009139 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1922428812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24012 W RENWICK RD STE 204A",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605448733",
"telephone_number": "815-676-4688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24012 W RENWICK RD STE 204A",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605448733",
"telephone_number": "815-676-4688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "AMBER",
"name_prefix": "Dr.",
"credential": "PSY.D., LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-18",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180009139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "NAROLESKI",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.