Individual provider Active NPI

Amanda CS Kiner, LPC, CPCS, NCC

  • Professional Counselor
  • Alapaha, GA
National Provider Identifier
1003678004
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
006069 Issued in GA
Practice address
15320 Hwy 129
Alapaha, GA 31622-7351
Phone
(229) 213-3363
NPI assigned
Jan 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 006069 GA Primary

Addresses

Primary practice location

15320 Hwy 129
Alapaha, GA 31622-7351

Mailing address

1030 Cobblestone Dr
Bogart, GA 30622-3202
Phone (770) 313-7479

Other names 1

  • Amanda Cariann Swords Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
006069GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1003678004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 COBBLESTONE DR",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306223202",
            "telephone_number": "770-313-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15320 HWY 129",
            "city": "ALAPAHA",
            "state": "GA",
            "postal_code": "316227351",
            "telephone_number": "229-213-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINER",
        "first_name": "AMANDA",
        "middle_name": "CS",
        "credential": "LPC, CPCS, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "006069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SWORDS",
            "middle_name": "CARIANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alapaha, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.