Amanda Carr, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2016008344 Issued in MO

Practice address

500 W Madison St
Springfield, MO 65806-2926

Phone

(812) 870-3885

NPI assigned

Mar 22, 2018

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

State licenses

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1184128134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MADISON ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062926",
            "telephone_number": "812-870-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MADISON ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062926",
            "telephone_number": "812-870-3885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1636 S Glenstone Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658041506",
            "country_code": "US",
            "telephone_number": "417-881-1900",
            "fax_number": "417-881-1237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "AMANDA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2016008344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Darin Carpenter, LPC
• James Woodward Carpenter, LP
• Ken J. Carpenter, M.D.
• Lindsey A Carpentier
• Carr Athletic Performance & Physical Therapy, LLC
• Casey Carr, OD
• Cory Brendon Carr, PT
• David Dorohoff Carr, D.O.
• Leslie Carr, DPT
• Vanna Lynn Carr, PA-C

• Professional Counselor in Springfield, MO
• Providers in Springfield, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.