AMARYLLIS COUNSELING SERVICES PLLC – Clinical Social Worker, NPI 1184428922

AMARYLLIS COUNSELING SERVICES PLLC is a healthcare provider. based in Island lake, Illinois. specializing in Clinical Social Worker. The NPI Number for AMARYLLIS COUNSELING SERVICES PLLC is 1184428922

Main info

Organization
Name
AMARYLLIS COUNSELING SERVICES PLLC
NPI
1184428922
Phone
(224) 856-8829
Address
606 CARRIAGE HILL CT
Authorized Official
JENNIFER WAGNER OWNER/THERAPIST LCSW
Enumeration Date
2 April 2025
Last Update Date
2 April 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

Provider Addresses for AMARYLLIS COUNSELING SERVICES PLLC

  • 606 CARRIAGE HILL CT

    ISLAND LAKE, IL 600429597

    Phone: (224) 856-8829

    Type: Mailing

  • 800 S MILWAUKEE AVE STE 105

    LIBERTYVILLE, IL 600483268

    Phone: (224) 856-8829

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20250818001181OClinic/Group PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60042)

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Reviews

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Frequently asked questions

What is AMARYLLIS COUNSELING SERVICES PLLC's NPI number?
AMARYLLIS COUNSELING SERVICES PLLC's NPI is 1184428922 — the number used across U.S. healthcare to identify this provider.
Is AMARYLLIS COUNSELING SERVICES PLLC shown as active in public data?
Registry records indicate AMARYLLIS COUNSELING SERVICES PLLC maintains an active NPI.
How would a patient describe AMARYLLIS COUNSELING SERVICES PLLC's focus?
For AMARYLLIS COUNSELING SERVICES PLLC, the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with AMARYLLIS COUNSELING SERVICES PLLC?
Directory geography for AMARYLLIS COUNSELING SERVICES PLLC centers on Island Lake, Illinois.
When was this NPI issued?
Enumeration for AMARYLLIS COUNSELING SERVICES PLLC is noted as April 2, 2025 where the registry provides it.

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