Individual provider Active NPI

Amanda Austin-Mafilika, LIMHP, LADC, LPC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1073168357
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2970 Issued in NE
Practice address
1620 S 70TH St Ste 105
Lincoln, NE 68506-1563
Phone
(402) 243-0650
Fax
(844) 448-5489
NPI assigned
Aug 5, 2019
Last updated
Nov 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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 2970 NE Primary

Addresses

Primary practice location

1620 S 70TH St Ste 105
Lincoln, NE 68506-1563

Mailing address

1620 S 70TH St Ste 105
Lincoln, NE 68506-1563
Phone (402) 243-0650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20240625002557 NE Practitioner - Mental Health Counselor 8921541491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amanda Austin-Mafilika CounselingGroup PAC ID 5395288864, 2 clinicians

Practice addresses (Care Compare)

1620 S 70TH St
Suite 105
Lincoln, NE 68506-1563
Phone (402) 243-0650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2970NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Austin-Mafilika Counseling Mental Health CurrentSince Jun 1, 2024 Accepting new patients
Lutheran Family Services of NE, Inc PastSince Aug 1, 2019 Accepting new patients
Lutheran Family Services of NE, Inc Mental Health PastSince Aug 1, 2019 Accepting new patients

Locations

1620 S 70th St
Ste 105
Lincoln, NE 68506
Phone (402) 243-0650

Organizations & group practices 3

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": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1073168357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 S 70TH ST STE 105",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061563",
            "telephone_number": "402-243-0650",
            "fax_number": "844-448-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S 70TH ST STE 105",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061563",
            "telephone_number": "402-243-0650",
            "fax_number": "844-448-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN-MAFILIKA",
        "first_name": "AMANDA",
        "credential": "LIMHP, LADC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.