AMANDA BERGE (NPI# 1487025862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487025862 |
| Entity Type | Individual |
| Full Name | AMANDA BERGE |
| Other Name | AMANDA J BERGE |
| Credential | LCPC |
| Practice Address |
135 Park Ave Ll4 Barrington IL 60010-4370 |
| Practice Telephone | 2246333319 |
| Practice Fax Number | 8477133993 |
| Mailing Telephone | 2246333319 |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180009982 | IL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
178009847 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1192 E Algonquin Rd, Algonquin, IL 601023084 | 2246333319 |
| Street Address |
135 PARK AVE LL4 |
| City | BARRINGTON |
| State | IL |
| Zip Code | 60010-4370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972125425 | Cvs Aoc Services, L.L.C. | Optometrist | 101 South Northwest Highway, Store 7181, Barrington, IL 60010 | 2020-05-07 |
| 1497241707 | Sharon Kay Fu | Counselor | 1000 Hart Rd., Suite 201, Barrington, IL 60010 | 2018-07-10 |
| 1760977219 | Robert Scott Wertke | Student in an Organized Health Care Education/Training Program | 3147, 101 Lions Dr. #100, Barrington, IL 60010 | 2018-06-27 |
| 1548788169 | Integrated Care Inc. | Chiropractor | 22285 N. Pepper Rd. Suite 407, Lake Barrington, IL 60010 | 2017-09-04 |
| 1487174249 | Lucy Buhr | Physician Assistant | 1531 S Grove Ave Suite 101, Barrington, IL 60010 | 2017-06-22 |
| 1386180198 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 1531 S Grove Avenue, Suite 101, Barrington, IL 60010 | 2017-01-18 |
| 1649625872 | Hong Luo | Acupuncturist | 1525 S. Grove Ave, Suite 102, Barrington, IL 60010 | 2016-04-25 |
| 1508239724 | Taylor Sheahen | Counselor | 21925 W. Field Parkway, Suite 215, Deer Park, IL 60010 | 2015-11-10 |
| 1952780413 | Robert W. Davis | Massage Therapist | 110 S. Wynstone Park Drive Suite 105, N. Barrington, IL 60010 | 2015-05-29 |
| 1982082863 | Marilu Garza | Massage Therapist | 110 S. Wynstone Park Drive, Suite 105, N. Barrington, IL 60010 | 2015-05-12 |
| Find all providers in zip 60010 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447817960 | North Star Counseling Center | Counselor | 135 Park Ave # Ll6, Barrington, IL 60010-4370 | 2019-05-20 |
| 1932762945 | Empowered and Authentic Living, LLC | Counselor | 111 North Ave Ste 200, Barrington, IL 60010-3282 | 2019-04-16 |
| 1033673298 | Andrea B Perez | Counselor | 525 Old Northwest Hwy Ste 302-c, Barrington, IL 60010-6814 | 2019-01-22 |
| 1497241707 | Sharon Kay Fu | Counselor | 1000 Hart Rd., Suite 201, Barrington, IL 60010 | 2018-07-10 |
| 1871091165 | Judith E Lucas | Counselor | 101 Lions Dr Ste 115, Barrington, IL 60010-3147 | 2018-02-01 |
| 1891205233 | Brittany Rotelli-morey | Counselor | 118 Barrington Commons Ct Ste 220, Barrington, IL 60010-3259 | 2017-10-11 |
| 1760912414 | Kristen Lenora Bauer | Counselor | 135 Park Ave # Ll4, Barrington, IL 60010-4370 | 2017-06-15 |
| 1023460763 | Travis Booth Lcpc, Inc. | Counselor | 1531 S Grove Ave Unit 204, Barrington, IL 60010-5251 | 2016-07-06 |
| 1376935544 | Thomas Cabrzynski | Counselor | 330 E Main St Ste 216, Barrington, IL 60010-3203 | 2015-02-25 |
| 1609176791 | Africa Latress Rainey | Counselor | 1000 Hart Rd, Suite 220-f2, Barrington, IL 60010-2659 | 2010-10-24 |
| Find all providers in BARRINGTON | ||||
| City | BARRINGTON |
| Zip Code | 60010 |
Please comment or provide details below to improve the information on AMANDA BERGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.