Individual provider Active NPI

Amanda Reed, LPC

  • Mental Health Counselor
  • Vestavia Hills, AL
National Provider Identifier
1033727375
Registry record updated Nov 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC04778 Issued in AL
Practice address
701 Montgomery Hwy
Vestavia Hills, AL 35216-1847
Phone
(205) 916-0123
NPI assigned
Jul 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C3552A AL
Mental Health Counselor 101YM0800X LPC04778 AL Primary

Addresses

Primary practice location

701 Montgomery Hwy
Vestavia Hills, AL 35216-1847

Mailing address

701 Montgomery Hwy
Vestavia Hills, AL 35216-1847
Phone (205) 916-0123

Other practice location 1

808 Lay Dam Rd
Clanton, AL 35045-2943
Phone (205) 280-7733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240221003356 AL Practitioner - Mental Health Counselor 0941644652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Trauma, Inc. 12 clinicians

Practice addresses (Care Compare)

2115 Data Park Cir
Hoover, AL 35244-1252
Phone (205) 705-0195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C3552AALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Simple Blessings Therapy Services LLC Current Accepting new patients
The Wellness Group, LLC Mental Health CurrentSince Aug 1, 2020 Accepting new patients
Holistic Wellness Group, LLC CurrentSince May 16, 2021 Accepting new patients
Thrive Trauma, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

2101 Magnolia Ave S
Ste 320
Birmingham, AL 35205

1034 23rd St S
Ste 201
Birmingham, AL 35205

808 Lay Dam Rd
Clanton, AL 35045
Phone (205) 280-7733

2115 Data Park Cir
Hoover, AL 35244
Phone (205) 478-9260

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25772/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668211200000",
    "number": "1033727375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MONTGOMERY HWY",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161847",
            "telephone_number": "205-916-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MONTGOMERY HWY",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161847",
            "telephone_number": "205-916-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 Lay Dam Rd",
            "address_purpose": "LOCATION",
            "city": "Clanton",
            "state": "AL",
            "postal_code": "350452943",
            "country_code": "US",
            "telephone_number": "205-280-7733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "AMANDA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2022-11-12",
        "certification_date": "2022-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C3552A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "LPC04778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

Verify at the official NPI Registry.