AMANDA KISTNER (NPI# 1588202816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588202816 |
| Entity Type | Individual |
| Full Name | AMANDA KISTNER |
| Practice Address |
902 W Main St West Frankfort IL 62896-2210 |
| Practice Telephone | 6189376483 |
| Practice Fax Number | 6189371440 |
| Mailing Telephone | 6189376483 |
| Mailing Fax Number | 6189371440 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881842433 | Amanda Beth Kistner | Specialist | 63 Samantha Way, Cheektowaga, NY 14227-3621 | 2008-09-08 |
| Street Address |
902 W MAIN ST |
| City | WEST FRANKFORT |
| State | IL |
| Zip Code | 62896-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694237 | Leatha Barber | Counselor | 902 W Main St, West Frankfort, IL 62896-2210 | 2020-06-19 |
| 1932733904 | Brittany Goldsberry | Counselor | 902 W Main St, West Frankfort, IL 62896-2210 | 2020-02-27 |
| 1780222513 | Amanda Denney | Counselor | 902 W Main St, West Frankfort, IL 62896-2210 | 2019-12-11 |
| 1154965416 | Hannah Sullivan | Counselor | 902 W Main St, West Frankfort, IL 62896-2210 | 2019-10-30 |
| 1235770199 | Sherry Gibbens | Social Worker | 902 W Main St, West Frankfort, IL 62896-2210 | 2019-10-02 |
| 1033677687 | Brittany Vaughn | Social Worker | 902 W Main St, West Frankfort, IL 62896-2210 | 2019-03-02 |
| 1326502816 | Theresa Herron | Social Worker | 902 W Main St, West Frankfort, IL 62896-2210 | 2019-01-29 |
| 1003370255 | Donnell Mccauley Jr. | Behavioral Analyst | 902 W Main St, West Frankfort, IL 62896-2210 | 2019-01-22 |
| 1467928036 | Brian Brown | Social Worker | 902 W Main St, West Frankfort, IL 62896-2210 | 2018-10-22 |
| 1891261871 | Daniel Ray Grisham | Assistant Behavior Analyst | 902 W Main St, West Frankfort, IL 62896-2210 | 2018-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417468406 | Desrie Dawn Farley | Psychologist | 508 East Main, West Frankfort, IL 62896 | 2017-10-17 |
| 1205346657 | Erin Hutchinson | Speech-Language Pathologist | 1401 W Sixth St, West Frankfort, IL 62896 | 2017-10-11 |
| 1326499740 | Casey Huff | Counselor | 202 South Bentley St, Marion, IL 62896 | 2016-06-27 |
| 1629321922 | Sage Psychiatry LLC | Psychiatry & Neurology | 410 W St Louis Street, West Frankfort, IL 62896 | 2012-10-24 |
| 1497907737 | Angela H Henson | Physician Assistant | 310 West St. Louis Street, West Frankfort, IL 62896 | 2008-10-17 |
| 1881884187 | Homestead House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 North Jefferson, West Frankfort, IL 62896 | 2007-08-01 |
| 1528266608 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | 502 West St Louis Street, West Frankfort Community Health Center, West Frankfort, IL 62896 | 2007-07-10 |
| 1437212016 | National Assistance Bureau, Inc. | Skilled Nursing Facility | Westside Care Center, 601 North Columbia St, West Frankfort, IL 62896 | 2006-12-18 |
| 1922176171 | Sebastian John Pagano | Dentist | 208 North Ida, West Frankfort, IL 62896 | 2006-12-04 |
| 1023123346 | Logan Primary Care Service Corp. | Clinic/Center | 502 W St Louis, West Frankfort, IL 62896 | 2006-08-19 |
| Find all providers in zip 62896 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694237 | Leatha Barber | Counselor | 902 W Main St, West Frankfort, IL 62896-2210 | 2020-06-19 |
| 1932733904 | Brittany Goldsberry | Counselor | 902 W Main St, West Frankfort, IL 62896-2210 | 2020-02-27 |
| 1881232031 | Carolynn Hanzal | Counselor | 903 W Main St, West Frankfort, IL 62896-2209 | 2019-12-18 |
| 1780222513 | Amanda Denney | Counselor | 902 W Main St, West Frankfort, IL 62896-2210 | 2019-12-11 |
| 1154781078 | Amber Osborne | Counselor | 902 W Main St, West Frankfort, IL 62896-2210 | 2016-03-04 |
| 1427418359 | Kristin Wykoff | Counselor | 902 W Main St, West Frankfort, IL 62896-2210 | 2016-03-04 |
| 1942669841 | Kjatie Murphy | Counselor | 902 W Main St, West Frankfort, IL 62896-2210 | 2016-02-19 |
| 1477912384 | Lora Norman | Counselor | 902 W Main St, West Frankfort, IL 62896-2210 | 2016-02-19 |
| 1932568847 | Kim Neal | Counselor | 902 W Main St, West Frankfort, IL 62896-2210 | 2016-02-19 |
| 1740649631 | Micheal Moss | Counselor | 902 W Main St, West Frankfort, IL 62896-2210 | 2016-02-19 |
| Find all providers in WEST FRANKFORT | ||||
| City | WEST FRANKFORT |
| Zip Code | 62896 |
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| 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.