Active NPI
Amanda K Faulkner, LPC
- Professional Counselor
- Denton, TX
National Provider Identifier
1215199658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62655
- Practice address
- 2007 Jasmine St
Denton, TX 76205-7402 - Phone
- (940) 765-3036
- NPI assigned
- Jun 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 62655 | TX | Primary |
Addresses
Primary practice location
2007 Jasmine St
Denton, TX 76205-7402
Mailing address
2007 Jasmine St
Denton, TX 76205-7402
Phone (940) 765-3036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 11, 2024 through Jan 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62655 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214438400000",
"number": "1215199658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 JASMINE ST",
"city": "DENTON",
"state": "TX",
"postal_code": "762057402",
"telephone_number": "940-765-3036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 JASMINE ST",
"city": "DENTON",
"state": "TX",
"postal_code": "762057402",
"telephone_number": "940-765-3036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULKNER",
"first_name": "AMANDA",
"middle_name": "K",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-26",
"last_updated": "2008-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.