Active NPI
Amanda Kirk
- Professional Counselor
- Lynchburg, VA
National Provider Identifier
1013177591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701012489
- Practice address
- 371 Oakdale Cir
Lynchburg, VA 24502-7348 - Phone
- (434) 237-2655
- NPI assigned
- Jun 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701012489 | VA | Primary |
Addresses
Primary practice location
371 Oakdale Cir
Lynchburg, VA 24502-7348
Mailing address
158 Jefferson Dr
Lynchburg, VA 24502-3018
Phone (276) 337-0093
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701012489 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyndhurst Counseling Center, LLC | Professional | Current | Accepting new patients |
| Foothill Family Service | Past | Accepting new patients | |
| Taylored Counseling Services LLC | Past | Accepting new patients |
Locations
371 Oakdale Cir
Lynchburg, VA 24502
Phone (434) 237-2655
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 and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lynchburg, VA
- NPI 1891859864
Professional
-
- Counselor
- Lynchburg, VA
- NPI 1023888484
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pasadena, CA
- NPI 1386824100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1013177591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 JEFFERSON DR",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245023018",
"telephone_number": "276-337-0093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "371 OAKDALE CIR",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245027348",
"telephone_number": "434-237-2655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-10",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701012489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.