Individual provider Active NPI

Amanda Lynn Roman, M.ED, LPC-MHSP

  • Mental Health Counselor
  • Nashville, TN
National Provider Identifier
1265674394
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2505 21St Ave S Ste 450
Nashville, TN 37212
Phone
(615) 656-5525
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2505 21St Ave S Ste 450
Nashville, TN 37212

Mailing address

2505 21St Ave S Ste 450
Nashville, TN 37212-5659
Phone (615) 656-5525

Other practice location 1

3310 Perimeter Hill Dr
Nashville, TN 37211-4123
Phone (615) 250-7200

Other practice location 2

1200 Division St Ste 404
Nashville, TN 37203-4059
Phone (615) 268-3344

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 Education

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Counseling, PLLC Mental Health Current Accepting new patients
Roman & Sokolowski Counseling, PLLC Mental Health Current Accepting new patients

Locations

1200 Division St
Ste 404
Nashville, TN 37203
Phone (615) 268-3344

Organizations & group practices 2

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": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1265674394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 21ST AVE S STE 450",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372125659",
            "telephone_number": "615-656-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 21ST AVE S STE 450",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37212",
            "telephone_number": "615-656-5525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3310 Perimeter Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372114123",
            "country_code": "US",
            "telephone_number": "615-250-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Division St Ste 404",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372034059",
            "country_code": "US",
            "telephone_number": "615-268-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "M.ED, LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.