MEDICARE: BRINKERHOFF COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1427980598
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRINKERHOFF COUNSELING LLC

Provider Business Mailing Address
First Line	:	PO BOX 251
Second Line	:
City	:	CHARLESTON
State	:	IL
Zip	:	61920-0251
Country	:	US
Telephone Number	:	217-552-3279
Fax Number	:

Provider Business Practice Location Address
First Line	:	2008 HARRISON AVE
Second Line	:
City	:	CHARLESTON
State	:	IL
Zip	:	61920-2316
Country	:	US
Telephone Number	:	217-552-3279
Fax Number	:

Authorized Official
Title or Position	:	OWNER/COUNSELOR
Name	:	AMANDA JO BRINKERHOFF
Credential	:	LCPC
Telephone Number	:	217-552-3279

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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