MS. AMY M. LIGHT (NPI# 1710210711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710210711 |
| Entity Type | Individual |
| Full Name | MS. AMY M. LIGHT |
| Credential | LCPC |
| Practice Address |
1701 W Garden St Peoria IL 61605-3531 |
| Practice Telephone | 3096807600 |
| Practice Fax Number | 3096765506 |
| Mailing Telephone | 3096807600 |
| Mailing Fax Number | 3096765506 |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225117344 | Amy Jo Light | Internal Medicine | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2006-11-02 |
| 1063507010 | Amy Treese Light | Dentist | 9812 Falls Rd, Suite 118, Potomac, MD 20854-3976 | 2006-10-04 |
| Street Address |
1701 W GARDEN ST |
| City | PEORIA |
| State | IL |
| Zip Code | 61605-3531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599522 | David Carl Gregory | Family Medicine | 1701 W Garden St, Peoria, IL 61605-3531 | 2005-06-27 |
| 1144793639 | John Alexander-blair Ramirez | Social Worker | 1701 W Garden St, Peoria, IL 61605-3531 | 2019-01-07 |
| 1376925586 | Shannon Diann Pyle | Nurse Practitioner | 1701 W Garden St, Peoria, IL 61605-3531 | 2015-06-24 |
| 1487054425 | Kathryn M Endress | Nurse Practitioner | 1701 W Garden St, Peoria, IL 61605-3531 | 2014-08-27 |
| 1063825446 | Marcus Ismedhi Mutidjo | Nurse Practitioner | 1701 W Garden St, Peoria, IL 61605 | 2014-06-03 |
| 1053662783 | Edward E Etherton | Nurse Practitioner | 1701 W Garden St, Peoria, IL 61605-3531 | 2012-09-20 |
| 1902951957 | Tina R Saddler | Nurse Practitioner | 1701 W Garden St, Peoria, IL 61605-3531 | 2007-01-23 |
| 1467546218 | Gregg D Stoner | Family Medicine | 1701 W Garden St, Peoria, IL 61605-3531 | 2006-10-03 |
| 1790889392 | Sandra K. Leman | Physician Assistant | 1701 W Garden St, Peoria, IL 61605-3531 | 2006-09-12 |
| 1629092226 | Thembi A Conner-garcia | Internal Medicine | 1701 W Garden St, Peoria, IL 61605 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386131878 | Nicholas Anthony Helling | Physical Therapist | 518 W Romero B Garret Ave, Poeria, IL 61605 | 2018-04-19 |
| 1891241022 | Peoria Slf Lp | Assisted Living Facility | 518 West Romeo B. Garrett Avenue, Peoria, IL 61605 | 2016-08-28 |
| 1932479664 | Michelle L Whitelow | Nurse Practitioner | 711 W John Gwynn Jr. Avenue, Peoria, IL 61605 | 2012-01-11 |
| 1982852877 | Jason M Anane-sefah | Orthopaedic Surgery | 303 North Kumpf Boulevard, Peoria, IL 61605 | 2008-09-04 |
| 1902098908 | Calvary Elderly Home Help Program | Home Health | 1709 W Lincoln Ave, Peoria, IL 61605 | 2007-08-14 |
| 1023104437 | Thomas Anderson | Optometrist | 710 W Third Avenue, Peoria, IL 61605 | 2006-10-04 |
| 1841382298 | Devashish Agarwal | Family Medicine | 1701 W. Garden Street, Peoria, IL 61605 | 2006-09-29 |
| 1497763197 | Larry T Rolle | Pharmacist | 411 Martin Luther King Dr., Peoria, IL 61605 | 2006-08-04 |
| 1568404762 | Joseph P Kelly Iv | Physical Therapist | 303 N. Kumpf Blvd, Peoria, IL 61605 | 2006-06-12 |
| 1003861634 | Patrick William Elwood | Neurological Surgery | 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605 | 2006-05-23 |
| Find all providers in zip 61605 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254629 | Bernadette Bruha | Counselor | 10028 W Redbird Rd, Peoria, AZ 85383-3368 | 2020-10-27 |
| 1063020071 | Pschertz Counseling | Counselor | 5016 N University St Ste 101, Peoria, IL 61614-4763 | 2020-07-15 |
| 1427674902 | Centerpoint Counseling Associates LLC | Counselor | 7820 N University St Ste 102b, Peoria, IL 61614-1220 | 2020-06-22 |
| 1962032938 | Sheri Orr | Counselor | 8401 W Desert Elm Ln, Peoria, AZ 85383-3645 | 2020-01-18 |
| 1952958050 | Emily Louise Trulson | Counselor | 3526 N California Ave, Peoria, IL 61603-1168 | 2019-08-22 |
| 1518441997 | Jill Johnson | Counselor | 29267 N 123rd Dr, Peoria, AZ 85383-4074 | 2018-09-20 |
| 1407359367 | Lori Bushell Counseling LLC | Counselor | 2000 W Pioneer Pkwy Ste 20, Peoria, IL 61615-5805 | 2018-03-16 |
| 1114427952 | Jessica Anne Hunter | Counselor | 10184 W Happy Valley Rd Ste 190, Peoria, AZ 85383-1254 | 2018-02-19 |
| 1881101806 | Michelle Elizabeth Juslin | Counselor | 8530 W Caribbean Ln, Peoria, AZ 85381-3531 | 2017-12-29 |
| 1235672973 | Amy N Kelch | Counselor | 4228 N University St, Peoria, IL 61614-6913 | 2016-11-29 |
| Find all providers in PEORIA | ||||
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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.