Amanda McBeain

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

19 E Abarr Dr
Pueblo West, CO 81007-5436

Phone

(435) 817-0155

NPI assigned

Apr 24, 2018

Last updated

Aug 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• My Therapy Matters LLC

  • Marriage & Family Therapist
  • Pueblo West, CO
  • NPI 1255921995
  NPD

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1174011282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E ABARR DR",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810075436",
            "telephone_number": "435-817-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E ABARR DR",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810075436",
            "telephone_number": "435-817-0155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2989 Broadmoor Valley Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809064403",
            "country_code": "US",
            "telephone_number": "719-266-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCBEAIN",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talonna Martinez, LCSW
• Mary C. Martino, AU.D
• Maulin Medical LLC
• Nina Maurello, MSW
• Laura Lynn Maynes Cortez, MSW
• Debra J McCormack, MD
• James W McCullough, MD
• Sharon Camiray McDougal, CPM, RM
• Jacqueline Marie McHenry-Hascek
• Lynette Melgosa

• Professional Counselor in Pueblo West, CO
• Providers in Pueblo West, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.