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AMANDA JUSTINE BAGNALL
NPI 1225630858
Marriage & Family Therapist in Wheaton, IL

Active since November 09, 2020
2100 MANCHESTER RD STE 602, WHEATON, IL 60187(630) 480-0060 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amanda Justine Bagnall NPPES

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

AMANDA JUSTINE BAGNALL (NPI 1225630858) is an individual marriage & family therapist in Wheaton, Illinois, licensed in Illinois (166.001357) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1225630858
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameAMANDA JUSTINE BAGNALL
Location Address2100 MANCHESTER RD STE 602Wheaton, IL 60187-4587
Mailing Address2100 Manchester Rd Ste 602Wheaton, IL 60187-4587 · (630) 480-0060
Phone(630) 480-0060
Sole ProprietorNo
Enumeration DateNovember 9, 2020
Last NPPES UpdateNovember 11, 2020
NPPES CertifiedNovember 11, 2020
✔ NPI 1225630858 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 · 166.001357
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.
2100 MANCHESTER RD STE 602, Wheaton, IL 60187
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Other Providers at the Same Location NPPES 7

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

JUN ZHANG
Counselor (Mental Health)
2100 MANCHESTER RD STE 602
WHEATON, IL 60187
Dupage County (630) 480-0060
NOELANI CORTINA MA
Counselor (Professional)
2100 MANCHESTER RD STE 602
WHEATON, IL 60187
Dupage County (630) 480-0060
ALISON JOY GOSHGARIAN
Counselor (Mental Health)
2100 MANCHESTER RD STE 602
WHEATON, IL 60187
Dupage County (630) 480-0060
ASHLEY SUZANNE ROBERTS LPC
Counselor (Mental Health)
2100 MANCHESTER RD STE 602
WHEATON, IL 60187
Dupage County (630) 480-0060
EVERGREEN COUNSELING LLC
Counselor (Mental Health)
2100 MANCHESTER RD STE 602
WHEATON, IL 60187
Dupage County (213) 222-5079
LAVANYA CHIMATA MA, LCPC, NCC
Counselor (Professional)
2100 MANCHESTER RD STE 602
WHEATON, IL 60187
Dupage County (630) 480-0060
INEZ MARTINEZ-SIERRA
Counselor (Professional)
2100 MANCHESTER RD STE 602
WHEATON, IL 60187
Dupage County (630) 480-0060

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 Bagnall's NPI number?

The NPI number for Amanda Bagnall is 1225630858. It was assigned to this individual provider in the NPPES registry on November 9, 2020.

Where is Amanda Bagnall located?

Amanda Bagnall practices at 2100 Manchester Rd Ste 602, Wheaton, IL 60187. The listed phone number is (630) 480-0060.

What is Amanda Bagnall'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 Bagnall was last updated on November 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.