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AMANDA GAUGLER
NPI 1083074488
Social Worker - Clinical in Champaign, IL

Active since February 26, 2016PECOS Enrolled
1802 S MATTIS AVE, CHAMPAIGN, IL 61821(217) 365-2855(217) 365-2856 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2022, Feb 26, 2016 (2 updates tracked since 2016).

About Amanda Gaugler NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA GAUGLER (NPI 1083074488) is an individual clinical provider in Champaign, Illinois, licensed in Illinois (149024034) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083074488
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMANDA GAUGLER
Location Address1802 S MATTIS AVEChampaign, IL 61821-5923
Mailing Address611 W Park StUrbana, IL 61801-2529
Phone(217) 365-2855
Fax(217) 365-2856
Sole ProprietorNo
Enumeration DateFebruary 26, 2016
Last NPPES UpdateMay 19, 20222 updates tracked since enumeration
NPPES CertifiedMay 19, 2022
✔ NPI 1083074488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149024034
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X
1802 S MATTIS AVE, Champaign, IL 61821
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Gaugler is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61821 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHAEL D RUBIN PHD
Psychologist
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 255-9580
CARLE CLINIC ASSOCIATION, PC
Durable Medical Equipment & Medical Supplies
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 326-1220
DR. GABRIEL SOTOMAYOR M.D.
Physical Medicine & Rehabilitation
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 902-6954
KRISTINE S ANDERSON PA
Physician Assistant (Surgical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 383-3260
DR. JOHN P BAKER PHD
Psychologist
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 365-2855
SELAHATTIN GOKTURK M.A
Social Worker (Clinical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 383-1850
MS. LISA ANNETTE ELLINGWOOD APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 365-2855
MARY K KIESEWETTER PMHNP
Nurse Practitioner
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 365-2855

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Gaugler's NPI number?

The NPI number for Amanda Gaugler is 1083074488. It was assigned to this individual provider in the NPPES registry on February 26, 2016.

Where is Amanda Gaugler located?

Amanda Gaugler practices at 1802 S Mattis Ave, Champaign, IL 61821. The listed phone number is (217) 365-2855.

What is Amanda Gaugler's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Amanda Gaugler enrolled in Medicare?

Yes. Amanda Gaugler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Gaugler was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.