Amanda Marie Harrington, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-6769 Issued in ID

Practice address

115 E 16TH St
Idaho Falls, ID 83404-5919

Phone

(208) 523-6727

Fax

(208) 523-6729

NPI assigned

Feb 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Marie Caudle Former name

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": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1225538515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 11TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044816",
            "telephone_number": "208-241-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 16TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045919",
            "telephone_number": "208-523-6727",
            "fax_number": "208-523-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRINGTON",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-6769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "CAUDLE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric Harms, LMFT
• Cherish A Haroldsen, LSW2377
• Nikara Haroldsen
• Philip R Harper, D.M.D.
• Emily Harrell, DO
• Amy J Harrington, LMSW
• Melina Nicole Harrington, DPT
• Harris & Allen Dental
• Harris Dental
• Aaron A Harris, PHD

• Professional Counselor in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.