Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Ellis, LCPC

Individual provider Mental Health Counselor · NPI 1215455472

Amanda Ellis, LCPC is a Mental Health Counselor in Carterville, Illinois. Qualified in 2018, 8 years ago. Practices with Shawnee Health Service and Development Corp, a 51-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2017
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

1006 S Division St
Carterville, IL 62918-1539
Phone: (618) 519-9200
Fax: (618) 985-3774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 180.013503 (IL)

Record details

NPI number1215455472
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedSeptember 7, 2017
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025
Mailing address109 California St, Po Box 577, Carterville, IL 62918-0577

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Shawnee Health Service And Development Corp — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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