Amanda Powell Psychotherapy and Social Work Consulting Services PL

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AMANDA POWELL PSYCHOTHERAPY AND SOCIAL WORK CONSULTING SERVICES PL

Doing business as

Therapy for Positive Aging

Practice address

34 N Main St
St Augustine, IL 61474-9800

Phone

(309) 351-8584

NPI assigned

Apr 28, 2022

Last updated

Oct 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Sheree Powell, LCSWNPI 1962086744

Title

Owner

Phone

(309) 333-0293

Specialties & licenses 1

Addresses

Other names 1

• THERAPY FOR POSITIVE AGING Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Sheree Powell, LCSW

  • Clinical Social Worker
  • St Augustine, IL
  • NPI 1962086744
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1922743608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 N MAIN ST",
            "city": "ST AUGUSTINE",
            "state": "IL",
            "postal_code": "614749800",
            "telephone_number": "309-351-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 N MAIN ST",
            "city": "ST AUGUSTINE",
            "state": "IL",
            "postal_code": "614749800",
            "telephone_number": "309-351-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA POWELL PSYCHOTHERAPY AND SOCIAL WORK CONSULTING SERVICES PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "SHEREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-333-0293",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THERAPY FOR POSITIVE AGING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THERAPY FOR POSITIVE AGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Ann McFetridge
• Amanda Sheree Powell, LCSW

• Clinical Social Worker in St Augustine, IL
• Providers in St Augustine, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.