Amanda Plumb, LPC,CCTP,CATP,CGCS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701005980 Issued in VA

Practice address

816 Greenbrier Cir
Chesapeake, VA 23320-2642

Phone

(757) 694-4723

Fax

(757) 301-8803

NPI assigned

Nov 24, 2014

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

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.

• Commonwealth Counseling Associates Inc

  dba LifeStance Health

  • Clinical Psychologist
  • Mechanicsville, VA
  • NPI 1851345805
  Medicare reassignment

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1184021842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 GREENBRIER CIR STE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202645",
            "telephone_number": "757-301-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 GREENBRIER CIR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202642",
            "telephone_number": "757-694-4723",
            "fax_number": "757-301-8803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Lynnhaven Pkwy Ste 340",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527361",
            "country_code": "US",
            "telephone_number": "757-301-8747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 Lynnhaven Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527351",
            "country_code": "US",
            "telephone_number": "757-301-8747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLUMB",
        "first_name": "AMANDA",
        "credential": "LPC,CCTP,CATP,CGCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30016735730006",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Plastic Surgery Associates of Tidewater, Inc.
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• Tierra Jackson Plummer, CPM. LM
• Yelena Plyushkina, PHARMD
• PNSC Solutions
• Steven G Pochop Jr., DNP, PNP
• Bernard Zachary Poelker, DPT

• Professional Counselor in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.