Amanda Jayne Bevill
Individual provider Active NPI Mental Health Counselor · Athol, MA
NPI 1124556022 · NPPES record last updated May 23, 2017
Key facts
- NPI
- 1124556022
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 491 Main St
Athol, MA 01331-1846 - Phone
- (978) 249-9490
- NPI assigned
- May 23, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
491 Main St
Athol, MA 01331-1846
Mailing address
121 Meadow Rd Apt 5
Keene, NH 03431-3952
Other providers in Athol, MA
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- Christina Carol Berry
- Jaime Lynn Bersch
- Arthur Euclide Billings III
- Vicky Mae Blake
- Jeanette Blanco
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- Colleen Bogonovich
All providers in Athol, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2017. 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.