NPIMap

Organization Active NPI

Amaris Counseling LLC

  • Mental Health Counselor
  • Evergreen Park, IL
National Provider Identifier
1992394514
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AMARIS COUNSELING LLC
Practice address
3450 W Maple St
Evergreen Park, IL 60805-3043
Phone
(773) 234-4214
NPI assigned
Jan 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Authorized official

Name
Rachael Stewart, LCSWNPI 1427485952
Title
Ceo
Phone
(773) 595-2778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3450 W Maple St
Evergreen Park, IL 60805-3043

Mailing address

2528 W 111TH St
Chicago, IL 60655-1303
Phone (773) 595-2778

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@amariscounselingllc.com Direct

National Provider Directory

National Provider Directory

Locations

3450 W Maple St
Evergreen Park, IL 60805
Phone (312) 848-9609

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1992394514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606551303",
            "telephone_number": "773-595-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 W MAPLE ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053043",
            "telephone_number": "773-234-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARIS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-595-2778",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@amariscounselingllc.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3450 W Maple St",
            "city": "Evergreen Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "608053043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.