Amanda Jameson, LPC, CSC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

70069 Issued in TX

Practice address

3840 Gilmer Rd
Longview, TX 75604-1173

Phone

(903) 918-7797

Fax

(903) 295-5858

NPI assigned

Feb 23, 2015

Last updated

Mar 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Henry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1023400496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 GILMER RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756041173",
            "telephone_number": "903-918-7797",
            "fax_number": "903-295-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 GILMER RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756041173",
            "telephone_number": "903-918-7797",
            "fax_number": "903-295-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMESON",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "LPC, CSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HENRY",
            "credential": "LPC INTERN, CSC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Professional Counselor in Longview, TX
• Providers in Longview, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.