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Active NPI 1255168738 Individual Practitioner Female Practitioner

Amanda Sides , LPN

Licensed Practical Nurse • Sullivan, IL

Professional Overview & Biography Verified Profile Summary

Amanda Sides, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Sullivan, IL. Practice services are available at MOULTRIE COUNTY COUNSELING CENTER under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Moultrie County Counseling Center
12 W Harrison Street

Sullivan, IL 61951

Telephone 2177284358
Fax 2177282270
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Sullivan, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Sullivan, IL (906 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-11
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License IL 043114801

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Rita Seelow

Counselor - Mental Health

NPI 1003393208
Erin Donovan

Social Worker

NPI 1003511247
Natalie Mitchem , BS

Counselor - Mental Health

NPI 1033921580

Bachelor of Science

Charleigh Brown

Counselor - Mental Health

NPI 1053045476
Bradford Dawson

Counselor - Mental Health

NPI 1063003945
Lisa Thomas

Counselor - Mental Health

NPI 1063999241

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 18, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2024

Registered at MOULTRIE COUNTY COUNSELING CENTER, 12 W HARRISON STREET, SULLIVAN, IL 61951 (Tel: 2177284358)

📍
Updated Business Mailing Address September 18, 2024

Registered at MOULTRIE COUNTY COUNSELING CENTER, 12 W HARRISON STREET, SULLIVAN, IL 61951 (Tel: 2177284358)

👤
Provider Name / Credentials Updated September 18, 2024

Recorded as AMANDA SIDES, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2024

Licensed Practical Nurse (License #043114801 in IL)

🟢
Initial NPI Registration & Enumeration September 18, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255168738
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 18, 2024
Last Update: September 18, 2024
Sole Proprietor: No

Mailing Address

Moultrie County Counseling Center, 12 W Harrison Street

Sullivan, IL 61951

Phone: 2177284358

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.