MRS. AMANDA RUBY ELIZABETH GOLDMAN (NPI# 1811090343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811090343 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA RUBY ELIZABETH GOLDMAN |
| Other Name | MISS AMANDA RUBY ELIZABETH ALLER |
| Credential | LICENSED CLINICAL PR |
| Practice Address |
143 S Lincoln Ave Ste I Aurora IL 60505-4290 |
| Mailing Address |
146 South Lincoln Avenue Aurora IL 60505-4236 |
| Practice Telephone | 6304863800 |
| Practice Fax Number | 6304863800 |
| Mailing Telephone | 6308923844 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 180005461 | IL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
180005461 | IL | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 180005461 | IL | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 180005461 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 0001634918 | 01 |
| HUMANA | 119856343168 | 01 |
| Street Address |
143 S LINCOLN AVE STE I |
| City | AURORA |
| State | IL |
| Zip Code | 60505-4290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462013 | Jin Wu Psyd LLC | Counselor | 143 S Lincoln Ave Ste I, Aurora, IL 60505-4290 | 2018-10-04 |
| 1598277147 | East Aurora Counseling, Ltd. | Counselor | 143 S Lincoln Ave Ste I, Aurora, IL 60505-4290 | 2017-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705330 | Johnathan Dunn | Counselor | 140 S. Lincoln Ave., Aurora, IL 60505 | 2019-11-27 |
| 1720638224 | Latanya Rush | Technician | 1664 Briarheath Dr, Aurora, IL 60505 | 2019-09-17 |
| 1285282103 | Susan Burroway | Technician | 815 Pearl St., Aurora, IL 60505 | 2019-09-04 |
| 1629624499 | Jean Amanda Nalwoga | Counselor | 1305 E New Indian Trail, Aurora, IL 60505 | 2019-08-16 |
| 1760987515 | Eric Raul Simental | Preventive Medicine | 1014 Claim St, Aurora, IL 60505 | 2018-03-26 |
| 1518408426 | Oluwole Michael Olubajo | Nurse's Aide | 716 Mountain Street, Apt#2e, Aurora, IL 60505 | 2017-03-10 |
| 1881017960 | Anthony Maranto | Counselor | 1305 E. Indian Trail Ct., Aurora, IL 60505 | 2014-01-27 |
| 1891121141 | Smithhealthcare Properties | Assisted Living Facility | 105 E Galena Bvld #3, Aurora, IL 60505 | 2013-09-18 |
| 1003253865 | Laura A Romero | Speech-Language Pathologist | 1770 Daisy St, Aurora, IL 60505 | 2013-06-03 |
| 1972878197 | Donald C. Kellner Dds-aurora PC | Dentist | 143 South Lincoln Ave, Suite A, Aurora, IL 60505 | 2012-03-21 |
| Find all providers in zip 60505 | ||||
| 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 |
|---|---|---|---|---|
| 1538766985 | Mile High Council On Alcoholism and Drug Abuse | Counselor | 1585 Kingston St, Aurora, CO 80010-2504 | 2020-10-07 |
| 1689298465 | Taija Thomas | Counselor | 4609 S Laredo St, Aurora, CO 80015-1449 | 2020-06-08 |
| 1568090439 | Sarah Eleanor Heiser | Counselor | 3238 S Yampa Way Unit A, Aurora, CO 80013-6489 | 2020-03-27 |
| 1063048460 | Sarah Stewart | Counselor | 13123 E 16th Ave # B300, Aurora, CO 80045-7106 | 2020-03-17 |
| 1265070155 | Brooke Patton | Counselor | 4977 S Ukraine St, Aurora, CO 80015-6788 | 2019-12-11 |
| 1457901233 | Kelly Lynn Moore | Counselor | 11111 E Mississippi Ave Ste 268, Aurora, CO 80012-3106 | 2019-09-13 |
| 1548813140 | Olabisi O Iranloye | Counselor | 1436 Foxcroft Dr, Aurora, IL 60506-1252 | 2019-07-23 |
| 1295391316 | Kristine Sims | Counselor | 4747 S Liverpool Cir, Aurora, CO 80015-6697 | 2019-05-14 |
| 1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
| 1841783230 | Gabrielle Carmely | Counselor | 16380 E 14th Place, Aurora, CO 80011 | 2018-06-11 |
| Find all providers in AURORA | ||||
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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.