Healthcare Provider Details

I. General information

NPI: 1427980598
Provider Name (Legal Business Name): BRINKERHOFF COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2008 HARRISON AVE
CHARLESTON IL
61920-2316
US

IV. Provider business mailing address

PO BOX 251
CHARLESTON IL
61920-0251
US

V. Phone/Fax

Practice location:
  • Phone: 217-552-3279
  • Fax:
Mailing address:
  • Phone: 217-552-3279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: AMANDA JO BRINKERHOFF
Title or Position: OWNER/COUNSELOR
Credential: LCPC
Phone: 217-552-3279