Amanda Kilgore, MED, LPC

Individual provider Active NPI Mental Health Counselor · Nichols Hills, OK

NPI 1124833447 · NPPES record last updated Feb 12, 2025

Key facts

NPI
1124833447
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
11691 (OK)
Practice address
1913 Huntington Ave
Nichols Hills, OK 73116-5525
Phone
(405) 401-8629
NPI assigned
Feb 12, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
11691OKMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11691 OK Yes

Addresses

Primary practice location

1913 Huntington Ave
Nichols Hills, OK 73116-5525

Mailing address

1913 Huntington Ave
Nichols Hills, OK 73116-5525
Phone (405) 401-8629

Other names

  • Amanda White Other name

Other providers in Nichols Hills, OK

All providers in Nichols Hills, OK · Mental Health Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.