Amanda C Nelson, LPC-ASSOCIATE, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

95619 Issued in TX

Practice address

1102 Custer Pass St
San Antonio, TX 78232-3421

Phone

(210) 307-9564

NPI assigned

Jul 11, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1205673852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 CUSTER PASS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 CUSTER PASS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323421",
            "telephone_number": "210-307-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "AMANDA",
        "middle_name": "C",
        "credential": "LPC-ASSOCIATE, M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "95619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nell Medical Group, P.a.
• Marina Michaelovna Nell, M.D.
• Nelson Chiropractic, PC
• Teneshia S Nelson-Hodges, D.D.S.
• Aaron Nelson
• Barbara Louise Nelson, LP
• Charles L Nelson, OD
• Christopher Todd Nelson, RN, MSN, CMSRN
• David Richard Nelson, M.D.
• Emily Nelson, LMSW

• Mental Health Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.