Amanda Dean, CLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

254950 Issued in CO

Practice address

1320 Carnation Cir
Longmont, CO 80503-7543

Phone

(303) 601-5689

NPI assigned

Jul 16, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1500163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500163200000",
    "number": "1124540695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411",
            "city": "HYGIENE",
            "state": "CO",
            "postal_code": "805330411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CARNATION CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037543",
            "telephone_number": "303-601-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "AMANDA",
        "credential": "CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-16",
        "last_updated": "2017-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "254950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diva De Leon Coffin, BCBA
• Paula De Oliveira Santos, MA
• Sophia R De St Simon
• Justin Daniel Deal, O.D.
• Amanda Dean, MA CCC SLP
• Lauren Dean
• Debbie Mayer, LCSW, LLC
• Todd Deboom, MD
• Daniel Andrew Decino, B.A.
• Amanda Deckelbaum

• Professional Counselor in Longmont, CO
• Providers in Longmont, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2017; 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.