Individual provider Active NPI

Amanda V Lukehart, MS LPC

  • Case Manager/Care Coordinator
  • Gillette, WY
National Provider Identifier
1205981909
Registry record updated Jan 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
908 S Gillette Ave
Gillette, WY 82716-4807
Phone
(307) 660-5876
Fax
(307) 686-2587
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2015

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC 1466 WY
Professional Counselor 101YP2500X LPC 1466 WY
Professional Counselor 101YP2500X PPC 246 WY
Professional Counselor 101YP2500X NCC202665 NC
Developmentally Disabled Services Day Training Agency 251C00000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

908 S Gillette Ave
Gillette, WY 82716-4807

Mailing address

908 S Gillette Ave
Gillette, WY 82716-4807
Phone (307) 660-5876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC 1466WYMDMental Health Counselor
NCC202665NCMDProfessional Counselor
PPC 246WYMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1205981909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 S GILLETTE AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164807",
            "telephone_number": "307-660-5876",
            "fax_number": "307-686-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 S GILLETTE AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164807",
            "telephone_number": "307-660-5876",
            "fax_number": "307-686-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKEHART",
        "first_name": "AMANDA",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "MS LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "LPC 1466",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC 1466",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "PPC 246",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "NCC202665",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; 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.