AMY C CHAMPION, LLC
NPI 1508536939
Counselor - Professional in O Fallon, IL

Active since September 16, 2021
1115 FRONTAGE RD STE B, O FALLON, IL 62269(618) 792-5200 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor
  • Professional

About AMY C CHAMPION, LLC

This page provides the complete NPI Profile along with additional information for Amy C Champion, Llc, a provider established in O Fallon, Illinois operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1508536939 assigned on September 2021. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Amy C Champion, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Amy Champion Lcpc (Licensed Clinical Professional Coun)

NPI
1508536939 Verify this NPI
Provider Name
AMY C CHAMPION, LLC
Entity Type
Organization
Location Address
1115 FRONTAGE RD STE B O FALLON, IL 62269
Location Phone
(618) 792-5200
Mailing Address
1115 FRONTAGE RD STE B O FALLON, IL 62269
Mailing Phone
(618) 792-5200
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2021
Last Update Date
09-16-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMY CHAMPION LCPC

Authorized Official Title
LICENSED CLINICAL PROFESSIONAL COUN
Authorized Official Phone
(618) 792-5200

Reviews for AMY C CHAMPION, LLC

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor (Professional)
1115 FRONTAGE RD STE B
O FALLON, IL 62269
Counselor (Professional)
1115 FRONTAGE RD STE B
O FALLON, IL 62269
Counselor (Professional)
1115 FRONTAGE RD STE B
O FALLON, IL 62269

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508536939, enumerated as an "organization" on September 16, 2021.

The provider is located at 1115 FRONTAGE RD STE B O FALLON, IL 62269 and the phone number is (618) 792-5200.

Counselor with taxonomy code 101YP2500X and a focus in Professional.