Amanda Michele Runfeldt, MS, NCC, LPC, LCAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

20084 Issued in NC

Practice address

515 Clanton Rd
Charlotte, NC 28217

Phone

(704) 332-9001

NPI assigned

Sep 27, 2012

Last updated

Dec 11, 2018By 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 2

Addresses

Other names 1

• Amanda Michele Overcash Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1063763290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 CLANTON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171309",
            "telephone_number": "704-332-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 CLANTON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28217",
            "telephone_number": "704-332-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 S Chestnut St",
            "address_2": "Support Incorporated",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "28054",
            "country_code": "US",
            "telephone_number": "704-865-3525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUNFELDT",
        "first_name": "AMANDA",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "MS, NCC, LPC, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9988",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "20084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "OVERCASH",
            "middle_name": "MICHELE",
            "credential": "MS, NCC, LPC, LCAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brianna Marie Ruja, OTR/L
• Sarah Marie Rumbaugh, CNM
• Sherry L Rumer-Mrzygod, OTR
• Patricia K Rumsey, CD
• Joseph Michael Rund, MD
• Emily S Runge, MSN, APRN, FNP-C
• Runn Free Technology Inc (Day Kare Transport LLC)
• Kristin Running, PH.D.
• Michael S. Runyon, MD
• David Michael Ruohoniemi, MD

• Addiction (Substance Use Disorder) Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.