Individual provider Active NPI

Amanda Lynn Henry, LPC

  • Mental Health Counselor
  • Bedford, PA
National Provider Identifier
1023840600
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC018093 Issued in PA
Practice address
1 Corporate Dr Ste 107
Bedford, PA 15522-7941
Phone
(814) 709-9819
Fax
(814) 310-2355
NPI assigned
Aug 14, 2024
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC018093 PA Primary

Addresses

Primary practice location

1 Corporate Dr Ste 107
Bedford, PA 15522-7941

Mailing address

1 Corporate Dr Ste 107
Bedford, PA 15522-7941
Phone (814) 709-9819

Other practice location 1

104 Railroad St
Bedford, PA 15522-1013
Phone (814) 709-9819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250319002714 PA Practitioner - Mental Health Counselor 6406378405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hyndman Area Health Center IncGroup PAC ID 5991614968, 18 clinicians

Practice addresses (Care Compare)

144 5TH Ave
Hyndman, PA 15545-7379
Phone (814) 842-3206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC018093PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hyndman Area Health Center, Inc CurrentSince Mar 13, 2025 Accepting new patients
Alternative Community Resource Program, Inc. CurrentSince Sep 22, 2025 Accepting new patients
Alternative Community Resource Program, Inc. CurrentSince Sep 22, 2025 Accepting new patients
Hyndman Area Health Center, Inc. CurrentSince Mar 13, 2025 Accepting new patients
Blair Family Solutions, LLC PastSince Aug 1, 2024 Accepting new patients

Locations

1 Corporate Dr
Ste 107
Bedford, PA 15522
Phone (814) 709-9819

104 Railroad St
Bedford, PA 15522
Phone (814) 263-5804

185 Hospital Dr
Everett, PA 15537
Phone (814) 623-1212

131 Market St
Johnstown, PA 15901
Phone (814) 534-0745

227 Franklin St
Ste 304
Johnstown, PA 15901
Phone (814) 634-4968

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1023840600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CORPORATE DR STE 107",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155227941",
            "telephone_number": "814-709-9819",
            "fax_number": "814-310-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CORPORATE DR STE 107",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155227941",
            "telephone_number": "814-709-9819",
            "fax_number": "814-310-2355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Railroad St",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "PA",
            "postal_code": "155221013",
            "country_code": "US",
            "telephone_number": "814-709-9819",
            "fax_number": "814-310-2355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC018093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, PA

Sources for this page

Verify at the official NPI Registry.