Amanda D Peterman, LCMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

907 Issued in KS

Practice address

10100 W 87TH St
Suite 207
Overland Park, KS 66212-4628

Phone

(913) 662-1013

Fax

(913) 371-0664

NPI assigned

Jun 16, 2009

Last updated

Dec 30, 2015By the provider in NPPES

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

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Bert Nash Community Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lawrence, KS
  • NPI 1841281805
  Medicare reassignment NPD
• Pawnee Mental Health Service, Inc.

  • Primary Care Clinic/Center
  • Manhattan, KS
  • NPI 1356139158
  NPD (past)

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1144457292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 W 87TH ST",
            "address_2": "SUITE 207",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662124628",
            "telephone_number": "913-662-1013",
            "fax_number": "913-371-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 W 87TH ST",
            "address_2": "SUITE 207",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662124628",
            "telephone_number": "913-662-1013",
            "fax_number": "913-371-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERMAN",
        "first_name": "AMANDA",
        "middle_name": "D",
        "credential": "LCMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Perry, MD
• Matthew R Perry, RPH
• Michael Wilson Perry, MD
• Rachel Perry
• Petal Dental LLC
• Anna C Peters
• Kasey Peters
• Mary E Peters, PT, MPH, CEA
• Stephanie Lynne Peters, APRN
• Stephanie Michele Peters, MD, MS

• Marriage & Family Therapist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Marriage & Family Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.