Individual provider Active NPI

Amanda Dillow, MA, NCC, LPCC

  • Mental Health Counselor
  • Owensboro, KY
National Provider Identifier
1003450578
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
279020 Issued in KY
Practice address
920 Frederica St Ste 309
Owensboro, KY 42301-3078
Phone
(270) 316-3303
NPI assigned
Oct 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 279020 KY Primary

Addresses

Primary practice location

920 Frederica St Ste 309
Owensboro, KY 42301-3078

Mailing address

920 Frederica St Ste 309
Owensboro, KY 42301-3078
Phone (270) 316-3303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403004075 KY Practitioner - Mental Health Counselor 9830537380 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
279020KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered Counseling, LLC Mental Health CurrentSince Nov 29, 2023 Accepting new patients

Locations

2817 Veach Rd
Owensboro, KY 42303
Phone (270) 240-5312

920 Frederica St
Ste 309
Owensboro, KY 42301
Phone (270) 316-3303

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1003450578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 FREDERICA ST STE 309",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423013078",
            "telephone_number": "270-316-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 FREDERICA ST STE 309",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423013078",
            "telephone_number": "270-316-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLOW",
        "first_name": "AMANDA",
        "credential": "MA, NCC, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2024-03-19",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "279020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.