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Amanda R Garrison , LCPC

Counselor - Professional β€’ Mount Vernon, IL

Active NPI 1770217580 Individual Practitioner Female Practitioner
Practice location in NPPES

9 Cusumano Professional Plaza Dr
Mount Vernon, IL 628646736

Call 6182424290 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9 Cusumano Professional Plaza Dr

Mount Vernon, IL 628646736

Telephone 6182424290
Organization at the Same NPPES Address or Phone
United Cerebral Palsy Of Southern Illinois,inc. Facility NPI 1518981299

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Mount Vernon and Illinois

23 active clinicians are listed under Counselor - Professional with a practice address in Mount Vernon, IL (9,512 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mount Vernon

0% of these 23 clinicians have the CMS telehealth indicator.

4.3% of these 23 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-08-04
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 180.016030
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 04, 2026

Registered at 9 CUSUMANO PROFESSIONAL PLAZA DR, MOUNT VERNON, IL 628646736 (Tel: 6182424290)

πŸ“
Updated Business Mailing Address August 04, 2026

Registered at 9 CUSUMANO PROFESSIONAL PLAZA DR, MOUNT VERNON, IL 628646736 (Tel: 6182424290)

πŸ‘€
Provider Name / Credentials Updated August 04, 2026

Recorded as AMANDA GARRISON, LCPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2026

Counselor (license number reported to NPPES: IL 180.016030)

βœ…
NPI Profile Active July 16, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 16, 2022

Registered at 4230 LINCOLNSHIRE DR STE E, MOUNT VERNON, IL 628642189 (Tel: 6182424290)

πŸ“
Business Mailing Address (Initial Record) July 16, 2022

Registered at 105 W GALAXY DR, WOODLAWN, IL 628981108 (Tel: 6182371060)

πŸ‘€
Provider Name / Credentials (Initial Record) July 16, 2022

Recorded as AMANDA GARRISON, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2022

Counselor (license number reported to NPPES: IL 178.017820)

🟒
Initial NPI Registration & Enumeration July 16, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1770217580
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2022
Last Update: August 04, 2026
Sole Proprietor: No

Mailing Address

9 Cusumano Professional Plaza Dr

Mount Vernon, IL 628646736

Phone: 6182424290

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.