Amanda Jane Andrew Brown, LPCC
Individual provider Active NPI Mental Health Counselor · Owensboro, KY
NPI 1104407402 · NPPES record last updated Aug 21, 2025
Key facts
- NPI
- 1104407402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 296447 (KY)
- Practice address
- 920 Frederica St Ste 401
Owensboro, KY 42301-3079 - Phone
- (270) 689-0073
- Fax
- (270) 689-0083
- NPI assigned
- Apr 19, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5614 Woodcrest LN
Owensboro, KY 42303-9225
PO Box
Suite 1003
Columbia, KY 42728-6003
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250905000134 | KY | Practitioner - Mental Health Counselor | 1557863933 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse Counseling Services, Inc. | Mental Health | Current |
Accepting new patients |
Locations
203 N Elm St
Henderson, KY 42420
Phone (270) 826-8761
920 Frederica St
Ste 407
Owensboro, KY 42301
Phone (270) 684-1077
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 296447 | KY | Yes |
Addresses
Primary practice location
920 Frederica St Ste 401
Owensboro, KY 42301-3079
Mailing address
920 Frederica St Ste 401
Owensboro, KY 42301-3079
Phone (270) 689-0073
Other providers in Owensboro, KY
- Robert Dan Andersen
- Heather Marie Anderson
- Lauren Anderson
- Mary Ellen Anderson
- Melanie Anderson
- Anesthesiology Medical Services PSC
- Michael Anno
- Anthony W Durall DMD PSC
- Ap Case Management
- Ap Case Management HCB
All providers in Owensboro, KY · Mental Health Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.