Individual provider Active NPI

Amanda Leslie Haney, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Prestonsburg, KY
National Provider Identifier
1104078989
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
164891 Issued in KY
Practice address
104 S Front Ave
Prestonsburg, KY 41653-1614
Phone
(606) 886-8572
NPI assigned
Oct 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 164891 KY
Addiction (Substance Use Disorder) Counselor 101YA0400X 164891 KY Primary

Addresses

Primary practice location

104 S Front Ave
Prestonsburg, KY 41653-1614

Mailing address

104 S Front Ave
Prestonsburg, KY 41653-1614
Phone (606) 886-8572

Other names 1

  • Amanda Leslie Lauffer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20250929001226 KY Practitioner - Mental Health Counselor 2264938356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3220 Office Pointe PL
Suite 100
Louisville, KY 40220-5443

PO Box
Suite 280
Prestonsburg, KY 41653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164891KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Behavioral Health Center PLLC CurrentSince Aug 1, 2025 Accepting new patients
Mountain Comprehensive Care Center, Inc. Past Accepting new patients
Mountain Comprehensive Care Center, Inc. Past Accepting new patients
Mountain Comprehensive Care Center, Inc. Past Accepting new patients
Mountain Comprehensive Care Center, Inc. Past Accepting new patients
Mountain Comprehensive Care Center, Inc. Past Accepting new patients

Locations

400 University Dr
Ste 102
Prestonsburg, KY 41653
Phone (606) 506-5441

900 Tom Frazier Way
#100
Salyersville, KY 41465
Phone (606) 349-7475

6340 US Highway 460
Staffordsvlle, KY 41256
Phone (606) 297-1501

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1104078989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S FRONT AVE",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531614",
            "telephone_number": "606-886-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S FRONT AVE",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531614",
            "telephone_number": "606-886-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY",
        "first_name": "AMANDA",
        "middle_name": "LESLIE",
        "credential": "LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-13",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "164891",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "164891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "LAUFFER",
            "middle_name": "LESLIE",
            "credential": "M.S., L.L.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prestonsburg, KY

Sources for this page

Verify at the official NPI Registry.