Individual provider Active NPI

Amanda Rollins Dobler, MS, NCC, LMHC

  • Mental Health Counselor
  • Niceville, FL
National Provider Identifier
1053813808
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH16308 Issued in FL
Practice address
111 Bailey Dr Ste 2
Niceville, FL 32578-2755
Phone
(850) 737-3379
Fax
(850) 273-5511
NPI assigned
Mar 7, 2018
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 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 IMH16308 FL Primary

Addresses

Primary practice location

111 Bailey Dr Ste 2
Niceville, FL 32578-2755

Mailing address

PO Box 354
Niceville, FL 32588-0354
Phone (507) 373-3798

Other identifiers 2

IdentifierTypeStateIssuer
MH17266OtherFLLICENSED MENTAL HEALTH COUNSELOR
MT4498OtherFLLICENSED MARRIAGE AND FAMILY THERAPIST

Other names 1

  • Amanda Lynn Rollins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMH16308FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Dobler Counseling, LLC Mental Health CurrentSince Jan 26, 2025 Accepting new patients

Locations

111 Bailey Dr
Ste 2
Niceville, FL 32578
Phone (850) 737-3379

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, 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": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1053813808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 354",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325880354",
            "telephone_number": "507-373-3798",
            "fax_number": "850-273-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BAILEY DR STE 2",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782755",
            "telephone_number": "850-737-3379",
            "fax_number": "850-273-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBLER",
        "first_name": "AMANDA",
        "middle_name": "ROLLINS",
        "credential": "MS, NCC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH16308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MENTAL HEALTH COUNSELOR",
            "identifier": "MH17266",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MARRIAGE AND FAMILY THERAPIST",
            "identifier": "MT4498",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "ROLLINS",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Niceville, FL

Sources for this page

Verify at the official NPI Registry.