AMANDA WAGNER
NPI 1205478294
Marriage & Family Therapist in Orland Park, IL

Active since October 11, 2019
7021 W 153RD ST STE 5, ORLAND PARK, IL 60462(708) 275-0934(888) 419-1594 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amanda Wagner NPPES

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

AMANDA WAGNER (NPI 1205478294) is an individual marriage & family therapist in Orland Park, Illinois, licensed in Illinois (208000757) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1205478294
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameAMANDA WAGNER
Location Address7021 W 153RD ST STE 5Orland Park, IL 60462-5397
Mailing AddressPo Box 764Manteno, IL 60950-0764 · (708) 275-0934 · Fax (888) 419-1594
Fax(888) 419-1594
Sole ProprietorYes
Enumeration DateOctober 11, 2019
NPI 1205478294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in IL · 208000757
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

7021 W 153RD ST STE 5, Orland Park, IL 60462

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
7021 W 153RD ST STE 5
ORLAND PARK, IL 60462
Counselor (Professional)
7021 W 153RD ST STE 5
ORLAND PARK, IL 60462
Counselor (Professional)
7021 W 153RD ST STE 5
ORLAND PARK, IL 60462
Counselor
7021 W 153RD ST STE 5
ORLAND PARK, IL 60462

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 Wagner's NPI number?

The NPI number for Amanda Wagner is 1205478294. It was assigned to this individual provider in the NPPES registry on October 11, 2019.

Where is Amanda Wagner located?

Amanda Wagner practices at 7021 W 153rd St Ste 5, Orland Park, IL 60462. The listed phone number is (708) 275-0934.

What is Amanda Wagner's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Amanda Wagner was last updated on October 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.