Amanda Sue Wilkinson, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2018043962 Issued in MO

Practice address

202 E Locust St
Union, MO 63084-1832

Phone

(636) 706-9559

NPI assigned

Jan 5, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Amanda Clary Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1546646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1083187751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 RIVER RIDGE DR",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630843258",
            "telephone_number": "636-706-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E LOCUST ST",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630841832",
            "telephone_number": "636-706-9559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1780 Old Highway 50 E Ste 102",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "MO",
            "postal_code": "630843397",
            "country_code": "US",
            "telephone_number": "888-403-1071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "AMANDA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "MA,  LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-05",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2018043962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "CLARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Union, MO
• Providers in Union, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.