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AMANDA SMOCK
NPI 1356933774
Counselor in Carbondale, IL

Active since February 08, 2021
2411 S ILLINOIS AVE, CARBONDALE, IL 62903(618) 615-9754 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amanda Smock NPPES

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

AMANDA SMOCK (NPI 1356933774) is an individual counselor in Carbondale, Illinois and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1356933774
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameAMANDA SMOCK
Location Address2411 S ILLINOIS AVECarbondale, IL 62903-5913
Mailing Address902 W Main StWest Frankfort, IL 62896-2210 · (618) 937-6483
Phone(618) 615-9754
Sole ProprietorNo
Enumeration DateFebruary 8, 2021
NPPES CertifiedFebruary 8, 2021
✔ NPI 1356933774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2411 S ILLINOIS AVE, Carbondale, IL 62903
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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.

CENTERSTONE OF ILLINOIS, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 937-6483
ALLYSSA KOWALIS
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-6703
JOHNATHAN JACKSON BS
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (855) 608-3560
CHANTEL JACOBS
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-6703
TAYLOR SERRATA
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 615-9754
AHMED BUKHAMSIN BS
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 457-6703
JAYME ANN MCCARROLL MA
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 615-9754
CHELSEA BLIXT
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Jackson County (618) 615-9754

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 Smock's NPI number?

The NPI number for Amanda Smock is 1356933774. It was assigned to this individual provider in the NPPES registry on February 8, 2021.

Where is Amanda Smock located?

Amanda Smock practices at 2411 S Illinois Ave, Carbondale, IL 62903. The listed phone number is (618) 615-9754.

What is Amanda Smock's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Amanda Smock was last updated on February 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.