Active NPI
Amanda Michele Hedges
- Professional Counselor
- Las Vegas, NV
National Provider Identifier
1043561491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CI5336
- Practice address
- 5785 Centennial Center Blvd Unit 240
Las Vegas, NV 89149-7108 - Phone
- (702) 673-7796
- NPI assigned
- Sep 25, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 02515-I | NV | |
| Professional Counselor | 101YP2500X | CI5336 | NV | Primary |
Addresses
Primary practice location
5785 Centennial Center Blvd Unit 240
Las Vegas, NV 89149-7108
Mailing address
5924 Crestmont Dr
North Las Vegas, NV 89031-1334
Phone (702) 684-1497
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 |
|---|---|---|---|
| 02515-I | NV | MD | Addiction (Substance Use Disorder) Counselor |
| CI5336 | NV | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H.O.P.E. Las Vegas | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Social Worker
- Las Vegas, NV
- NPI 1306182373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1043561491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5924 CRESTMONT DR",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890311334",
"telephone_number": "702-684-1497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5785 CENTENNIAL CENTER BLVD UNIT 240",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891497108",
"telephone_number": "702-673-7796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDGES",
"first_name": "AMANDA",
"middle_name": "MICHELE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-25",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "02515-I",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NV",
"license": "CI5336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.