Individual provider Active NPI

Amanda Kirk

  • Professional Counselor
  • Lynchburg, VA
National Provider Identifier
1013177591
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701012489 Issued in VA
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

Updated by the provider on May 17, 2023

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 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

LicenseStateTypeSpecialty
0701012489VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wyndhurst Counseling Center, LLC Professional CurrentSince Mar 24, 2024 Accepting new patients
Foothill Family Service Past Accepting new patients
Taylored Counseling Services LLC PastSince May 21, 2023 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.

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.

Verify at the official NPI Registry.