Agave Studio, LLC
NPI 1023427861ActiveOrganization· Counselor, Professional· Chicago, IL
Counselor, Professional in Chicago, Illinois, registered in NPPES in August 2014. The authorized official on file is Amanda G. Bull, MA, LCPC, Billing Director, Staff Therapist.
Overview
| NPI | 1023427861 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 6, 2014 |
| Last updated in NPPES | Aug 12, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 180008030 | IL |
| Psychologist, Clinical | 103TC0700X | 071.008116 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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