Active NPI
Amanda Wilson
- Mental Health Counselor
- Mount Pleasant, SC
National Provider Identifier
1265135875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- COU.8380
- Practice address
- 106 Pitt St
Mount Pleasant, SC 29464-5319 - Phone
- (843) 323-0693
- NPI assigned
- Mar 23, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | COU.8380 | SC | Primary |
Addresses
Primary practice location
106 Pitt St
Mount Pleasant, SC 29464-5319
Mailing address
1014 Bennington Dr
Charleston, SC 29492-8473
Phone (843) 614-1774
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COU.8380 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1265135875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 BENNINGTON DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294928473",
"telephone_number": "843-614-1774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 PITT ST",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294645319",
"telephone_number": "843-323-0693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-23",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "COU.8380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, SC
- Bridget Talbot Williamson, MD
- Stewart Holden Williamson
- Karen Lynn Williford, MNT BCHN, MT ASCP
- Elizabeth Smith Willis, MSP, CCC-SLP
- Claire Kruse Wills, LMSW
- Christopher Scott Wilson, DPT
- Lara Corbett Wilson, MD
- Michael Cameron Wilson, PT, DPT
- Tracie Lynn Wilson, M.S. CCC-SLP
- Yolanda Edith Wilson, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.