Amanda McKinnon, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC05258 Issued in AL

Practice address

1305 10TH Ave Ste E
Calera, AL 35040-6229

Phone

(205) 294-2509

Fax

(205) 690-8314

NPI assigned

Jul 8, 2024

Last updated

Jul 8, 2024By 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

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

Specialty

Mental Health Counselor

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mental Health Board of Chilton and Shelby Counties IncGroup PAC ID 7315911344, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/centralalabamawellness/r4/

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.

• Mental Health Board of Chilton and Shelby Counties Inc

  dba Central Alabama Wellness

  • Community/Behavioral Health Agency
  • Calera, AL
  • NPI 1639247869
  Medicare reassignment Care Compare group NPD
• 7TH Wellness LLC

  • Professional Counselor
  • Calera, AL
  • NPI 1124672571
  NPD
• Mental Health Board of Chilton and Shelby Counties Inc

  dba Chilton-Shelby Mental Health Center

  • Community/Behavioral Health Agency
  • Clanton, AL
  • NPI 1487829966
  NPD

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1053157115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 COUNTY ROAD 55",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350464835",
            "telephone_number": "205-294-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 10TH AVE STE E",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350406229",
            "telephone_number": "205-294-2509",
            "fax_number": "205-690-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNON",
        "first_name": "AMANDA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "LPC05258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary J Matuscin
• Linda McCary
• Farnaz Mehran McCoy, DMD
• Kymber A McGiboney
• Noelle McKinney, LPC
• Mental Health Board of Chilton and Shelby Counties Inc (Central Alabama Wellness)
• Michael Todd Michard, PHARMD
• Regina Mims
• Elizabeth Mintz, R.N., B.S.N.
• Brittany Mumpower, M.ED., LPC, NCC

• Mental Health Counselor in Calera, AL
• Providers in Calera, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.