Amanda M. Lourdeau, M.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

33 State Ave
Carlisle, PA 17013-4432

Phone

(717) 243-6033

Fax

(717) 243-0776

NPI assigned

Aug 28, 2009

Last updated

Aug 28, 2009By 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

Other names 1

• Amanda M. Edens Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251417600000",
    "number": "1174756852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 STATE AVE",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170134432",
            "telephone_number": "717-243-6033",
            "fax_number": "717-243-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 STATE AVE",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170134432",
            "telephone_number": "717-243-6033",
            "fax_number": "717-243-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOURDEAU",
        "first_name": "AMANDA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-28",
        "last_updated": "2009-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "EDENS",
            "middle_name": "M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.