Individual provider Active NPI

Amanda L Brandenburg, LICDC QMHS

  • Addiction (Substance Use Disorder) Counselor
  • Lancaster, OH
National Provider Identifier
1134716822
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
1856 Cedar Hill Rd
Lancaster, OH 43130-4178
Phone
(740) 796-8835
NPI assigned
Dec 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

1856 Cedar Hill Rd
Lancaster, OH 43130-4178

Mailing address

1856 Cedar Hill Rd
Lancaster, OH 43130-4178
Phone (740) 796-8835

Other practice location 1

605 E Center St
Marion, OH 43302-4235
Phone (740) 692-9022

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Center, Inc. Addiction (Substance Use Disorder) CurrentSince Feb 26, 2023 Accepting new patients
Phoenix Center, Inc. PastSince Feb 26, 2023 Accepting new patients
Rise Up Recovery, Inc Past Accepting new patients
Rise Up Recovery, Inc Addiction (Substance Use Disorder) Past Accepting new patients

Locations

149 Mercy Blvd
Mount Orab, OH 45154
Phone (740) 727-2000

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/rurecoveryinc/r4/
  • Direct secure messaging: amanda.raines.p1@direct.thecounselingcenter.nextgenshare.com

Organizations & group practices 4

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": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1134716822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1856 CEDAR HILL RD",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304178",
            "telephone_number": "740-796-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1856 CEDAR HILL RD",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304178",
            "telephone_number": "740-796-8835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 E Center St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "433024235",
            "country_code": "US",
            "telephone_number": "740-692-9022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANDENBURG",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "LICDC QMHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.