AMANDA JENKINS (NPI# 1043605942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043605942 |
| Entity Type | Individual |
| Full Name | AMANDA JENKINS |
| Other Name | AMANDA BROUGHAM |
| Credential | LCPC |
| Practice Address |
7300 W College Dr Ste 203 Palos Heights IL 60463-1183 |
| Mailing Address |
425 Home Ave Apt 3e Oak Park IL 60302-3723 |
| Practice Telephone | (708) 448-7848 |
| Mailing Telephone | 5083620661 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2019-02-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
180009382 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6601 North Ave, Oak Park, IL 603021005 | 7088879809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679602981 | Amanda Hazel Jenkins | Social Worker | 12 Orchard St, Lynn, MA 01905-2820 | 2007-03-04 |
| 1982205548 | Amanda Jenkins | Pharmacist | 12504 Us Route 60, Ashland, KY 41102-9687 | 2020-11-02 |
| 1104462340 | Amanda Noelle Jenkins | Dental Assistant | 17675 Sw Tv Hwy, Beaverton, OR 97003-4443 | 2019-11-22 |
| 1417484825 | Amanda Dawn Jenkins | Chiropractor | 420 Johnson Rd Ste 204, Keller, TX 76248-3462 | 2017-05-16 |
| 1447782180 | Amanda Jenkins | Registered Nurse | 901 12th Ave, Seattle, WA 98122-4411 | 2017-03-31 |
| 1801341136 | Amanda Jenkins | Nurse Practitioner | 310 N Hammes Ave, Ste 202, Joliet, IL 60435-8118 | 2016-08-16 |
| 1457706301 | Amanda Jenkins | Social Worker | 124 S 400 E Ste 250, Salt Lake City, UT 84111-5315 | 2016-04-28 |
| 1891195699 | Amanda Jenkins | Physician Assistant | 175 S Union Blvd, Suite 350, Colorado Springs, CO 80910-3113 | 2014-08-28 |
| 1699101832 | Amanda S Jenkins | Nurse Practitioner | 6210 S Broadway Ave, Tyler, TX 75703-4413 | 2013-09-19 |
| 1568671865 | Amanda Jenkins | Nurse's Aide | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2007-05-22 |
| Street Address |
7300 W COLLEGE DR STE 203 |
| City | PALOS HEIGHTS |
| State | IL |
| Zip Code | 60463-1183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083785554 | Carrie Ann Carr | Counselor | 7300 W College Dr Ste 203, Palos Heights, Palos Heights, IL 60463-1183 | 2006-11-13 |
| 1023664448 | Jessica Schroeder | Counselor | 7300 W College Dr Ste 203, Palos Heights, IL 60463-1183 | 2019-08-12 |
| 1386152130 | Sandra A Murray | Social Worker | 7300 W College Dr Ste 203, Palos Heights, IL 60463-1183 | 2018-01-15 |
| 1144670308 | Hope Enrichment Center | Community/Behavioral Health | 7300 W College Dr Ste 203, Palos Heights, IL 60463-1183 | 2016-06-20 |
| 1063600112 | Kevin John Huyser | Counselor | 7300 W College Dr Ste 203, Palos Heights, IL 60463-1183 | 2007-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756095 | Kim Rusiecki | Technician | 25 Parliament Drive East, Palos Heights, IL 60463 | 2019-08-23 |
| 1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
| 1225410848 | Deborah Ann Castaneda | Skilled Nursing Facility | 12350 Natchez Ave., Palos Heights, IL 60463 | 2015-06-19 |
| 1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
| 1366846503 | Ryan Teahen | Dentist | 7600 W College Dr Ste 17, Palos Heights, IL 60463 | 2014-10-17 |
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1275976045 | Nazim A. Khan | Physician Assistant | 6450 West College Drive, Palos Heights, IL 60463 | 2013-04-11 |
| 1619246824 | Amanda M Ejka | Psychologist | 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 | 2011-12-16 |
| 1578832937 | Sandi Maheras | Pharmacist | 1703 Spyglass Cir, Palos Heights, IL 60463 | 2011-12-14 |
| 1043597065 | Ashraf Olwan | Pharmacist | 7660 W Sequoia Rd, Palos Heights, IL 60463 | 2011-11-04 |
| Find all providers in zip 60463 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629698063 | Marianne Ogbonnaya | Counselor | 7330 W College Dr Ste 104, Palos Heights, IL 60463-1186 | 2020-04-24 |
| 1033749106 | Life Solutions Counseling Services | Counselor | 7330 W College Dr Ste 207, Palos Heights, IL 60463-1157 | 2020-01-17 |
| 1154962710 | Michelle Marie Murray | Counselor | 7250 W College Dr Ste 1w, Palos Heights, IL 60463-1398 | 2019-10-04 |
| 1487120101 | Finding Your Solutions Counseling and Wellness, Inc. | Counselor | 11952 S Harlem Ave Ste 200a, Palos Heights, IL 60463-1390 | 2018-10-19 |
| 1427145499 | David G. Mcneal | Counselor | 66 S Country Squire Rd, Palos Heights, IL 60463-1227 | 2006-10-09 |
| 1720611122 | Tenille Tenille Wallace-bell | Counselor | 11952 S Harlem Ave, Palos Heights, IL 60463-1167 | 2020-02-13 |
| 1376004127 | Inas Abuhasna | Counselor | 11952 S Harlem Ave, Palos Heights, IL 60463-1167 | 2019-03-26 |
| 1104392828 | Amina Dahleh | Counselor | 11952 S Harlem Ave Ste 200a, Palos Heights, IL 60463-1390 | 2018-10-19 |
| 1306294525 | Leyden Dupage Counseling Service | Counselor | 7350 W College Dr, Suite 108a, Palos Heights, IL 60463-1149 | 2016-05-27 |
| 1336482066 | Carolyn A Necas | Counselor | 7300 W College Dr, #203, Palos Heights, IL 60463-1152 | 2013-04-01 |
| Find all providers in PALOS HEIGHTS | ||||
| City | PALOS HEIGHTS |
| Zip Code | 60463 |
Please comment or provide details below to improve the information on AMANDA JENKINS.
| 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.