AMANDA STOUT LCPC
NPI 1477097210
Counselor - Professional in Mattoon, IL

Q: What is Amanda Stout's NPI number?

The NPI number for Amanda Stout is 1477097210. It was assigned to this individual provider in the NPPES registry on December 13, 2016. The provider is also known as Amanda Hoelscher.

Q: What is Amanda Stout's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Stout was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since December 13, 2016PECOS EnrolledAccepts Medicare Assignment

750 BROADWAY AVE E, MATTOON, IL 61938(217) 238-5700(217) 238-5767 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2020, Dec 13, 2016 (2 updates tracked since 2016).

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About Amanda Stout Lcpc NPPES

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

AMANDA STOUT LCPC (NPI 1477097210) is an individual professional provider in Mattoon, Illinois and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charleston, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1477097210

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameAMANDA STOUTCredential: LCPC

Location Address750 BROADWAY AVE EMattoon, IL 61938-4610

Mailing Address750 Broadway Ave EMattoon, IL 61938-4610 · (217) 238-5700 · Fax (217) 238-5767

Phone(217) 238-5700

Fax(217) 238-5767

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateDecember 13, 2016

Last NPPES UpdateJuly 31, 20202 updates tracked since enumeration

NPPES CertifiedJuly 31, 2020

✔ NPI 1477097210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

750 BROADWAY AVE E, Mattoon, IL 61938

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Other Names 1

Other Name (5)Amanda Hoelscher

Secondary Practice Location 1

Location 1626 W Lincoln AveCharleston, IL 61920-2444 · Phone (217) 238-5700

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Stout Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527417302

PECOS Enrollment IDI20240520001130

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.

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.

KIAYA LOY MS, MHP

Counselor