Individual provider Active NPI

Amanda Doster

  • Counselor
  • Novi, MI
National Provider Identifier
1043784796
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
24461 Willow LN
Novi, MI 48375-2863
Phone
(231) 730-2155
Fax
(734) 585-7977
NPI assigned
Jan 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

24461 Willow LN
Novi, MI 48375-2863

Mailing address

24461 Willow LN
Novi, MI 48375-2863
Phone (231) 730-2155

Other practice location 1

522 S Maple Rd
Ann Arbor, MI 48103-3837
Phone (734) 585-7970

Other practice location 2

220 S Main St
Royal Oak, MI 48067-2676
Phone (231) 730-2155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1043784796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24461 WILLOW LN",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752863",
            "telephone_number": "231-730-2155",
            "fax_number": "734-585-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24461 WILLOW LN",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752863",
            "telephone_number": "231-730-2155",
            "fax_number": "734-585-7977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "522 S Maple Rd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481033837",
            "country_code": "US",
            "telephone_number": "734-585-7970",
            "fax_number": "734-585-7977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 S Main St",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480672676",
            "country_code": "US",
            "telephone_number": "231-730-2155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOSTER",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.