AMANDA MICHELLE GARDNER LPC NPI 1184490591

NPI Information

  • NPI: 1184490591
  • Provider Name: AMANDA MICHELLE GARDNER, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 520 N 4TH ST
    SPRINGFIELD, IL
    ZIP 62702
  • Phone: (217) 545-8000

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NPI Details

Amanda Michelle Gardner, LPC is a professional counselor in Springfield, IL. Amanda Michelle Gardner, LPC NPI is 1184490591. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

520 N 4TH ST
SPRINGFIELD, IL
ZIP 62702-238
Phone: (217) 545-8000

The enumeration date for this NPI number is 11/27/2023 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional178.019313ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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