Amy Duffy, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180-000710 Issued in IL

Practice address

210 W Water St Ste 1
Pontiac, IL 61764

Phone

(815) 844-2644

NPI assigned

Jan 11, 2007

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

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.

• Kind Living Therapy, LLC

  • Mental Health Counselor
  • Pontiac, IL
  • NPI 1538646203
  NPD (past) Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1932259983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 E ELMER ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W WATER ST STE 1",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "61764",
            "telephone_number": "815-844-2644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 E Torrance Ave",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "IL",
            "postal_code": "617642748",
            "country_code": "US",
            "telephone_number": "815-844-6109",
            "fax_number": "815-844-3561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "AMY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180-000710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Dohleman, MHP
• Becky Dotterer
• Lia Ellise Draper, MS CCC-SLP
• Joshua Mark Dudek, OD
• Duffy-Baier-Snedecor Ambulance Service LLC
• Gloria J Duy, RD, LDN
• Kimber Marian Edelman, COTA/L
• Junior Lynn Elling, OTR/L, MHA
• Jennifer Elzey, BS
• Kaitlyn Elzey, RSA

• Mental Health Counselor in Pontiac, IL
• Providers in Pontiac, 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 Jul 13, 2018; 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.