Individual provider Active NPI

Amanda Salyers, LPCC

  • Professional Counselor
  • Morehead, KY
National Provider Identifier
1154963882
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
296018 Issued in KY
Practice address
321 E Main St
Morehead, KY 40351-1671
Phone
(606) 784-4161
Fax
(606) 783-4336
NPI assigned
Oct 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X 296018 KY Primary

Addresses

Primary practice location

321 E Main St
Morehead, KY 40351-1671

Mailing address

PO Box 790
Ashland, KY 41105-0790
Phone (606) 329-8588

Other names 1

  • Amanda Clark Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20250421000345 KY Practitioner - Mental Health Counselor 9335664564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathways IncGroup PAC ID 1254239171, 60 clinicians

Practice addresses (Care Compare)

321 E Main St
Morehead, KY 40351-1671
Phone (606) 784-4161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
296018KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways, Inc CurrentSince Feb 1, 2025 Accepting new patients
Pathways Inc CurrentSince Feb 1, 2025 Accepting new patients

Locations

3701 Landsdowne Dr
Ashland, KY 41102
Phone (606) 324-3005

321 E Main St
Morehead, KY 40351
Phone (606) 784-4161

Organizations & group practices 2

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": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1154963882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411050790",
            "telephone_number": "606-329-8588",
            "fax_number": "606-329-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E MAIN ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511671",
            "telephone_number": "606-784-4161",
            "fax_number": "606-783-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALYERS",
        "first_name": "AMANDA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "296018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "CLARK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.