Individual provider Active NPI

Amy Lynn Minor, MA, LCPC

  • Professional Counselor
  • Alton, IL
National Provider Identifier
1992249742
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180010630 Issued in IL
Practice address
108 Northport Dr
Alton, IL 62002-5904
Phone
(618) 466-0295
Fax
(618) 551-2676
NPI assigned
Dec 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180010630 IL Primary
Mental Health Counselor 101YM0800X
Social Worker 104100000X

Addresses

Primary practice location

108 Northport Dr
Alton, IL 62002-5904

Mailing address

PO Box 786
Godfrey, IL 62035-0786
Phone (618) 567-8650

Other identifiers 1

IdentifierTypeStateIssuer
180010630OtherILSTATE LICENSE - LCPC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240129002778 IL Practitioner - Mental Health Counselor 4082067814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calmwaters Counseling and Resource Center, IncGroup PAC ID 6800103466, 5 clinicians

Practice addresses (Care Compare)

108 Northport Dr
Alton, IL 62002-5904
Phone (618) 466-0295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180010630ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-America Psychiatric Consultants, LLC PastSince Dec 1, 2000 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1992249742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620350786",
            "telephone_number": "618-567-8650",
            "fax_number": "618-551-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 NORTHPORT DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025904",
            "telephone_number": "618-466-0295",
            "fax_number": "618-551-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MA, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010630",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE - LCPC",
            "identifier": "180010630",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

Verify at the official NPI Registry.