Amanda Blair, ED.S., LPC, SPS,NCSP
Individual provider Active NPI Counselor · Jonesboro, AR
NPI 1124483102 · NPPES record last updated Sep 19, 2025
Key facts
- NPI
- 1124483102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- P1602016 (AR)
- Practice address
- 2800 Browns LN
Jonesboro, AR 72401-7236 - Phone
- (870) 501-5060
- Fax
- (870) 501-5060
- NPI assigned
- Dec 17, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1602016 | AR | MD | Counselor |
| 10051133 | AR | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atkison Psychological Services, Inc. | Current |
Accepting new patients |
Locations
2800 Browns Ln
Jonesboro, AR 72401
Phone (870) 501-5060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P1602016 | AR | |
| Counselor | 101Y00000X | P1602016 | AR | Yes |
| School Psychologist | 103TS0200X | 10051133 | AR |
Addresses
Primary practice location
2800 Browns LN
Jonesboro, AR 72401-7236
Mailing address
4504 Antosh Cir Unit 2
Jonesboro, AR 72404-8687
Phone (870) 501-5060
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.