Individual provider Active NPI

Amanda Johnson

  • Mental Health Counselor
  • Sherman, TX
National Provider Identifier
1174058283
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
67244 Issued in TX
Practice address
8370 US Highway 82 E
Sherman, TX 75090-2404
Phone
(817) 944-0221
NPI assigned
Apr 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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 67244 TX Primary

Addresses

Primary practice location

8370 US Highway 82 E
Sherman, TX 75090-2404

Mailing address

98 Chapel CT
Whitesboro, TX 76273-5746
Phone (817) 944-0221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260216003096 TX Practitioner - Mental Health Counselor 5496235764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1431 W Woodard St
Denison, TX 75020-3449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
67244TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tidemark Therapy PLLC CurrentSince Jan 10, 2026 Accepting new patients
Texoma Psychological Services PLLC PastSince Jan 10, 2026 Accepting new patients
Amanda G Johnson, LPC Past Accepting new patients

Locations

305 W Woodard St
Ste 201
Denison, TX 75020
Phone (903) 265-8545

Organizations & group practices 3

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": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1174058283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 CHAPEL CT",
            "city": "WHITESBORO",
            "state": "TX",
            "postal_code": "762735746",
            "telephone_number": "817-944-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8370 US HIGHWAY 82 E",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902404",
            "telephone_number": "817-944-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "67244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.