Individual provider Active NPI

Amanda Nobilini, M.A., LPC

  • Professional Counselor
  • Forest, VA
National Provider Identifier
1235947201
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701014348 Issued in VA
Practice address
110 Vista Centre Dr Ste 18
Forest, VA 24551-2785
Phone
(434) 207-2497
NPI assigned
Dec 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701014348 VA Primary

Addresses

Primary practice location

110 Vista Centre Dr Ste 18
Forest, VA 24551-2785

Mailing address

1643 Sunburst Rd
Evington, VA 24550-3528

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 3, 2025 through Jan 3, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0701014348VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mandy Nobilini Counseling, LLC Professional CurrentSince Dec 29, 2024 Accepting new patients

Locations

110 Vista Centre Dr
Ste 18
Forest, VA 24551
Phone (434) 207-2497

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1235947201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 SUNBURST RD",
            "city": "EVINGTON",
            "state": "VA",
            "postal_code": "245503528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 VISTA CENTRE DR STE 18",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512785",
            "telephone_number": "434-207-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBILINI",
        "first_name": "AMANDA",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-23",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701014348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, VA

Sources for this page

Verify at the official NPI Registry.