Active NPI
Amanda S Anderson, LPC
- Professional Counselor
- Mount Gilead, OH
National Provider Identifier
1013401702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.2103289
- Practice address
- 245 Neal Ave
Mount Gilead, OH 43338-9372 - Phone
- (614) 445-8131
- NPI assigned
- Jun 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | C.2103289 | OH | Primary |
Addresses
Primary practice location
245 Neal Ave
Mount Gilead, OH 43338-9372
Mailing address
1791 Alum Creek Dr
Columbus, OH 43207-1708
Phone (614) 445-8131
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 |
|---|---|---|---|
| C.2103289 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling, LTD. | Professional | Past | Accepting new patients |
| Maryhaven Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Columbus, OH
- NPI 1245290436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1013401702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1791 ALUM CREEK DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432071708",
"telephone_number": "614-445-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 NEAL AVE",
"city": "MOUNT GILEAD",
"state": "OH",
"postal_code": "433389372",
"telephone_number": "614-445-8131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "AMANDA",
"middle_name": "S",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-18",
"last_updated": "2025-09-12",
"certification_date": "2021-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.2103289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Gilead, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.