Healthcare Provider Details

I. General information

NPI: 1649728478
Provider Name (Legal Business Name): AMY STRAUSBERGER BA CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2016
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24014 W RENWICK RD SUITE 103
PLAINFIELD IL
60544-8727
US

IV. Provider business mailing address

24212 W MAIN ST
PLAINFIELD IL
60544-2831
US

V. Phone/Fax

Practice location:
  • Phone: 815-200-1130
  • Fax:
Mailing address:
  • Phone: 630-951-1423
  • 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:
Title or Position:
Credential:
Phone: