AMANDA SMITH
NPI 1174987200
Counselor - Mental Health in Forest Park, IL

Active since April 05, 2016
8311 ROOSEVELT RD, FOREST PARK, IL 60130(708) 209-2291 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Amanda Smith NPPES

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

AMANDA SMITH (NPI 1174987200) is an individual mental health provider in Forest Park, Illinois and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1174987200
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA SMITH
Location Address8311 ROOSEVELT RDForest Park, IL 60130-2529
Mailing Address8311 Roosevelt RdForest Park, IL 60130-2529
Sole ProprietorNo
Enumeration DateApril 5, 2016
NPI 1174987200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8311 ROOSEVELT RD, Forest Park, IL 60130

Other Providers at the Same Location NPPES 19

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

Psychiatry & Neurology (Psychiatry)
8311 ROOSEVELT RD
FOREST PARK, IL 60130
Psychologist (Clinical)
8311 ROOSEVELT RD, SUITE 100
FOREST PARK, IL 60130
Social Worker (Clinical)
8311 ROOSEVELT RD
FOREST PARK, IL 60130
Psychiatry & Neurology (Psychiatry)
8311 ROOSEVELT RD
FOREST PARK, IL 60130
Psychiatric Hospital
8311 ROOSEVELT RD
FOREST PARK, IL 60130
Psychiatry & Neurology (Psychiatry)
8311 ROOSEVELT RD
FOREST PARK, IL 60130
Pharmacy (Long Term Care Pharmacy)
8311 ROOSEVELT RD
FOREST PARK, IL 60130
Psychiatry & Neurology (Psychiatry)
8311 ROOSEVELT RD, OPTIONAL
FOREST PARK, IL 60130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174987200, enumerated as an "individual" on April 05, 2016.

The provider is located at 8311 ROOSEVELT RD FOREST PARK, IL 60130 and the phone number is (708) 209-2291.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.