Individual provider Active NPI

Amanda Pfannenstiel, LCP, LCAC

  • Psychologist
  • Hays, KS
National Provider Identifier
1013017862
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
339 Issued in KS
Practice address
3000 Broadway Ave
Hays, KS 67601-1916
Phone
(800) 423-1342
Fax
(785) 628-3113
NPI assigned
Sep 22, 2006
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 622 KS
Psychologist 103T00000X 339 KS Primary

Addresses

Primary practice location

3000 Broadway Ave
Hays, KS 67601-1916

Mailing address

509 E Elm St
Salina, KS 67401-2353
Phone (800) 423-1342

Other practice location 1

180 W 5th St
Colby, KS 67701-2313
Phone (800) 423-1342

Other practice location 2

423 SE 10th St
Newton, KS 67114-4409
Phone (800) 423-1342

Other practice location 3

501 N Monroe St
Hutchinson, KS 67501-1345
Phone (800) 423-1342

Other practice location 4

4155 E Harry St
Wichita, KS 67218-3725
Phone (800) 423-1342

Other practice location 5

1421 W 8th St
Wellington, KS 67152-4736
Phone (800) 423-1342

Other practice location 6

222 Southwind Pl
Manhattan, KS 66503-3123
Phone (800) 423-1342

Other practice location 7

1013 W 8th St Ste A
Junction City, KS 66441-2281
Phone (800) 423-1342

Other practice location 8

119 Jones St
El Dorado, KS 67042-1469
Phone (800) 423-1342

Other practice location 9

1110 J C St
Garden City, KS 67846-6345
Phone (800) 423-1342

Other practice location 10

1509 Avenue P Ste B
Dodge City, KS 67801-7012
Phone (800) 423-1342

Other practice location 11

2140 N Kansas Ave Ste B
Liberal, KS 67901-2460
Phone (800) 423-1342

Other practice location 12

2008 11th St
Great Bend, KS 67530-4419
Phone (800) 423-1342

Other practice location 13

1221 E 12th Ave
Emporia, KS 66801-3321
Phone (800) 423-1342

Other practice location 14

904 Broadway
Concordia, KS 66901-3502
Phone (800) 423-1342

Other identifiers 1

IdentifierTypeStateIssuer
200439600BMedicaidKS

Other names 1

  • Amanda William 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
622KSMDAddiction (Substance Use Disorder) Counselor
339KSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Community Services, Inc. Addiction (Substance Use Disorder) PastSince Sep 29, 2019 Accepting new patients
Saint Francis Community Services, Inc. PastSince Dec 21, 2014 Accepting new patients
Saint Francis Community and Residential Services, Inc Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1013017862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E ELM ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012353",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BROADWAY AVE",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676011916",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Colby",
            "state": "KS",
            "postal_code": "677012313",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "423 SE 10th St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "KS",
            "postal_code": "671144409",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Monroe St",
            "address_purpose": "LOCATION",
            "city": "Hutchinson",
            "state": "KS",
            "postal_code": "675011345",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4155 E Harry St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672183725",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1421 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "KS",
            "postal_code": "671524736",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Southwind Pl",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665033123",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1013 W 8th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Junction City",
            "state": "KS",
            "postal_code": "664412281",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Jones St",
            "address_purpose": "LOCATION",
            "city": "El Dorado",
            "state": "KS",
            "postal_code": "670421469",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 J C St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "678466345",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1509 Avenue P Ste B",
            "address_purpose": "LOCATION",
            "city": "Dodge City",
            "state": "KS",
            "postal_code": "678017012",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2140 N Kansas Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Liberal",
            "state": "KS",
            "postal_code": "679012460",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2008 11th St",
            "address_purpose": "LOCATION",
            "city": "Great Bend",
            "state": "KS",
            "postal_code": "675304419",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 E 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "668013321",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "904 Broadway",
            "address_purpose": "LOCATION",
            "city": "Concordia",
            "state": "KS",
            "postal_code": "669013502",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PFANNENSTIEL",
        "first_name": "AMANDA",
        "credential": "LCP, LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "622",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200439600B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WILLIAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hays, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.