AMANDA ALLEN


Address: 904 E Martin Luther King Drive, Centralia, IL 62801
Phone: 6185331139

AMANDA ALLEN (NPI# 1538707716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538707716
Entity Type Individual
Full Name AMANDA ALLEN
Practice Address 904 E Martin Luther King Drive
Centralia
IL 62801
Practice Telephone 6185331139
Practice Fax Number 6185330012
Mailing Telephone 6185331139
Mailing Fax Number 6185330012
Enumeration Date 2019-12-18
Last Update Date 2019-12-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 370915481007 05

Other Providers AMANDA ALLEN

NPI Name Taxonomy Address Enumeration
1487266318 Amanda Allen Social Worker 100 Thomas Heights Rd # 203, Franklin, NC 28734-9799 2020-08-21
1598389041 Amanda Brooke Allen Social Worker 349 Glenmore Ave, Baton Rouge, LA 70806-5217 2020-06-01
1518501832 Amanda Allen Nurse Practitioner 6936 Cypress Spring Ct, St Augustine, FL 32086-4818 2019-10-30
1164073714 Amanda Sue Allen Technician 5530 S 47th Rd, Walnut Grove, MO 65770-7503 2019-09-25
1235798299 Amanda Kate Allen Psychiatry & Neurology 861 Msc, Charleston, SC 29425-1009 2019-06-12
1902361330 Amanda Jessica Mae Allen Behavioral Analyst Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 2019-02-11
1245720424 Amanda Ann Allen Behavior Technician 165 Sorrento Drive, Holland, MI 49423 2018-05-14
1205340874 Amanda Allen Counselor 110 1st St Apt 34e, Jersey City, NJ 07302-8999 2017-11-19
1750745972 Amanda Jane Allen Registered Nurse 303 E Eva St, Phoenix, AZ 85020-2526 2016-04-13
1568829422 Amanda Caudill Allen Counselor 1013 Royal Hunt Ct, Apex, NC 27502-1348 2016-01-24

Office Location

Street Address 904 E MARTIN LUTHER KING DRIVE
City CENTRALIA
State IL
Zip Code 62801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104378637 Brigid Nalewajka Social Worker 904 E Martin Luther King Drive, Centralia, IL 62801-3058 2016-11-01
1811535123 Blake Byers Counselor 904 E Martin Luther King Drive, Centralia, IL 62801-3058 2019-12-17
1396394987 Emily Kracht Counselor 904 E Martin Luther King Drive, Centralia, IL 62801-3058 2019-09-06
1669028478 Kaleigh Price Counselor 904 E Martin Luther King Drive, Centralia, IL 62801 2019-08-16
1750935045 Jessica Plant Counselor 904 E Martin Luther King Drive, Centralia, IL 62801 2019-07-25
1821651423 Britni Sellers Nurse's Aide 904 E Martin Luther King Drive, Centralia, IL 62801 2019-04-18
1902367105 Martell Mcdaniel Counselor 904 E Martin Luther King Drive, Centralia, IL 62801-3058 2019-03-29
1467921858 Miles Ludwigs Counselor 904 E Martin Luther King Drive, Centralia, IL 62801 2018-11-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356996151 Matthew Crawford Counselor 904 E Martin Luther King Dr, Centralia, IL 62801 2019-08-08
1588130314 Kennah White Counselor 904 E. Mlk Drive, Centralia, IL 62801 2018-10-19
1245721588 Lindsey Nicole Fogliasso Counselor 904 East Mlk Dr., Centralia, IL 62801 2018-05-22
1629573365 Prabhat Shrestha Student in an Organized Health Care Education/Training Program 605 Sable Drive, Centralia, IL 62801 2018-03-26
1619496098 Whitney Rathmann Speech-Language Pathologist 224 South Locust, Centralia, IL 62801 2017-09-17
1376082685 Athena A Smith Counselor 904 E. Martin Luther King Dr, Centralia, IL 62801 2017-02-20
1447704069 Meghan Branch Counselor 904 Martin Luther King Dr, Centralia, IL 62801 2016-08-11
1568820637 Midland Area Agency On Aging Case Management 434 S Poplar Street, Centralia, IL 62801 2016-02-04
1104201714 Keri Douglas Nurse Practitioner 1054 M. L. King Drive #125, Centrailia, IL 62801 2015-07-24
1215331509 Melissa Dane Counselor 904 E Martin Luther King Dr., Centralia, IL 62801 2014-10-15
Find all providers in zip 62801

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790385821 Joshua Bigner Counselor 201 S Tower Ave Apt E2, Centralia, WA 98531-4055 2020-10-28
1356996151 Matthew Crawford Counselor 904 E Martin Luther King Dr, Centralia, IL 62801 2019-08-08
1588130314 Kennah White Counselor 904 E. Mlk Drive, Centralia, IL 62801 2018-10-19
1245721588 Lindsey Nicole Fogliasso Counselor 904 East Mlk Dr., Centralia, IL 62801 2018-05-22
1376078246 Ashley Patrice Broussard Counselor 1723 Kresky Ave, Centralia, WA 98531-8985 2017-04-27
1376082685 Athena A Smith Counselor 904 E. Martin Luther King Dr, Centralia, IL 62801 2017-02-20
1023552551 Kelsey Dulle Counselor 904 Martin Luther King Drive, Centralia, IL 62801-3058 2016-12-19
1548703580 Tiana Barbee Counselor 904 Mlk Drive, Centralia, IL 62801-3058 2016-11-23
1518411131 Shelia Wilson Counselor 904 E. Martin Luther King, Centralia, IL 62801-3058 2016-08-11
1447704069 Meghan Branch Counselor 904 Martin Luther King Dr, Centralia, IL 62801 2016-08-11
Find all providers in CENTRALIA

Competitor

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City CENTRALIA
Zip Code 62801

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Dataset Information

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.

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