Individual provider Active NPI

Amanda Lynn Langan

  • Professional Counselor
  • Bismarck, ND
National Provider Identifier
1174076756
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
752-6-1-13-278 Issued in ND
Practice address
2718 Gateway Ave Ste 104
Bismarck, ND 58503-0585
Phone
(701) 202-5908
NPI assigned
Jul 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 752-6-1-13-278 ND Primary

Addresses

Primary practice location

2718 Gateway Ave Ste 104
Bismarck, ND 58503-0585

Mailing address

2718 Gateway Ave Ste 104
Bismarck, ND 58503-0585
Phone (701) 202-5908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20240730004685 ND Practitioner - Mental Health Counselor 8426595133 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Counseling, PLLC CurrentSince May 27, 2024 Accepting new patients

Locations

2718 Gateway Ave
Ste 104
Bismarck, ND 58503
Phone (701) 202-5908

Organizations & group practices 1

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": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1174076756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 GATEWAY AVE STE 104",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030585",
            "telephone_number": "701-202-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 GATEWAY AVE STE 104",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030585",
            "telephone_number": "701-202-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGAN",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-29",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "752-6-1-13-278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.