Amanda Caitlin Birdwell Dodson, LPC-MHSP, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

106 N Washington Ave
Cookeville, TN 38501-3352

Phone

(931) 265-5473

NPI assigned

Aug 20, 2018

Last updated

Jan 14, 2021By 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

Other names 1

• Amanda Caitlin Birdwell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1053891804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1223",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385031223",
            "telephone_number": "931-265-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N WASHINGTON AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013352",
            "telephone_number": "931-265-5473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 E Spring St",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385015066",
            "country_code": "US",
            "telephone_number": "931-265-5473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DODSON",
        "first_name": "AMANDA",
        "middle_name": "CAITLIN BIRDWELL",
        "credential": "LPC-MHSP, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BIRDWELL",
            "middle_name": "CAITLIN",
            "credential": "LPC-MHSP, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa R Dittmer
• Pamela Shelton Dobbs, PA-C
• Cosby Dale Dobson, LCSW
• Brian Keith Dockery, M.D.
• Catherine Dodd
• Ashley Dodson, NP
• Austin Dodson
• Dogwood Family Dental
• Elizabeth Donatto-Clark, L.P.C.
• Kristi A Donegan, P.A.

• Mental Health Counselor in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.