Amanda Jane Wadley, M.S., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC005012 Issued in GA

Practice address

102 S Zetterower Ave
Statesboro, GA 30458-4816

Phone

(912) 764-6731

Fax

(912) 764-6789

NPI assigned

Nov 1, 2007

Last updated

Nov 29, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Dr. John C. Adams, Jr., PC

  • Community/Behavioral Health Agency
  • Statesboro, GA
  • NPI 1669749305
  NPD (past)
• Georgia Outreach, LLC

  • Psychiatry Physician
  • Savannah, GA
  • NPI 1902128929
  NPD (past)

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1083893457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MAGNOLIA PL",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304614248",
            "telephone_number": "912-587-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S ZETTEROWER AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584816",
            "telephone_number": "912-764-6731",
            "fax_number": "912-764-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADLEY",
        "first_name": "AMANDA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "M.S., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC005012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Alexander Vescio
• Madelyn Vickery, BCBA
• Victoria Family Practice Clinic, LLC
• Melody S Vogt, M.S., LPC
• Waad, LLC (East Georgia Home Health Center)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0754)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2858)
• Wal-Mart Stores East, LP.
• Jarrett Harrell Walden, D.M.D.
• Walgreen Co (Walgreens #09257)

• Mental Health Counselor in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.