Individual provider Active NPI

Amanda L. Durst, MA, LPC

  • Mental Health Counselor
  • Amarillo, TX
National Provider Identifier
1134554462
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
66175 Issued in TX
Practice address
7470 Golden Pond PL
Suite 300
Amarillo, TX 79121-1997
Phone
(806) 356-9047
Fax
(806) 356-9046
NPI assigned
Sep 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 66175 TX Primary

Addresses

Primary practice location

7470 Golden Pond PL
Suite 300
Amarillo, TX 79121-1997

Mailing address

7470 Golden Pond PL
Suite 300
Amarillo, TX 79121-1997
Phone (806) 356-9047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
66175TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jennings Counseling Services Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1134554462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7470 GOLDEN POND PL",
            "address_2": "SUITE 300",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211997",
            "telephone_number": "806-356-9047",
            "fax_number": "806-356-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7470 GOLDEN POND PL",
            "address_2": "SUITE 300",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211997",
            "telephone_number": "806-356-9047",
            "fax_number": "806-356-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURST",
        "first_name": "AMANDA",
        "middle_name": "L.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "66175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.