Quadiedra Amos, NCC, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A15615 Issued in NC

Practice address

214 Fairway Dr
Fayetteville, NC 28305-5502

Phone

(910) 491-8186

Fax

(910) 808-1042

NPI assigned

Aug 3, 2020

Last updated

Sep 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Balanced Care Sustains Networks PLLC

  dba Balanced Care Sustains

  • Mental Health Counselor
  • Fayetteville, NC
  • NPI 1740069905
  NPD Authorized official
• Global Outreach Telerehabilitation

  • Professional Counselor
  • Fayetteville, NC
  • NPI 1457193955
  NPD

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1023628278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#1298 5075 MORGANTON RD STE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283050276",
            "telephone_number": "910-882-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 FAIRWAY DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055502",
            "telephone_number": "910-491-8186",
            "fax_number": "910-808-1042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4441 Bragg Blvd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283033862",
            "country_code": "US",
            "telephone_number": "828-544-1491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3675 Fallstaff Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283069079",
            "country_code": "US",
            "telephone_number": "910-882-3878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMOS",
        "first_name": "QUADIEDRA",
        "credential": "NCC, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitul Arvind Amin, DDS
• Shray Amin, MD
• Bala Ammisetti, MD
• Dwayne McPherson Ammons
• Teresa Taylor Ammons, MS,CCC-SLP
• Andrea Ampuero
• Amw Foundation
• Antonios Anagnostopoulos, DO
• Yaw Boateng Anane, PHARMD
• Anasa Home Health LLC

• Mental Health Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.