NPIMap

Organization Active NPI

Amanda Patterson, LMHC, LLC

  • Mental Health Counselor
  • Davie, FL
National Provider Identifier
1265815351
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10243 Issued in FL
Legal business name
AMANDA PATTERSON, LMHC, LLC
Practice address
5400 S University Dr Ste 308
Davie, FL 33328-5310
Phone
(543) 785-3819
NPI assigned
Jul 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Amanda Patterson, LMHC
Title
Owner
Phone
(954) 258-8845

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH10243 FL Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MH10243 FL

Addresses

Primary practice location

5400 S University Dr Ste 308
Davie, FL 33328-5310

Mailing address

5400 S University Dr Ste 308
Davie, FL 33328-5310
Phone (954) 378-3851

Other practice location 1

800 E Broward Blvd Ste 310308
Fort Lauderdale, FL 33301-2008
Phone (954) 378-3851

Other practice location 2

5090 Pga Blvd Ste 316
Palm Beach Gardens, FL 33418-3957
Phone (561) 223-1066

Other practice location 3

12008 S Shore Blvd Ste 210&211
Wellington, FL 33414-6395
Phone (561) 223-1066

Other practice location 4

420 S State Road 7 Ste 108
Royal Palm Beach, FL 33414-4304
Phone (561) 223-1066

Other practice location 5

2000 NW 150th Ave Ste 2109
Pembroke Pines, FL 33028-2870
Phone (954) 378-5381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241126004281 FL Part B Supplier - Clinic/Group Practice 5193250207 Receives reassigned benefits from 9 practitioners
Practice locations: Wellington, FL; Sunrise, FL; Pembroke Pines, FL; Palm Beach Gardens, FL; Ft Lauderdale, FL; Davie, FL; Coral Springs, FL

National Provider Directory

National Provider Directory

Locations

2929 N University Dr
Ste 205
Coral Springs, FL 33065
Phone (561) 408-1098

5400 S University Dr
Ste 308
Davie, FL 33328
Phone (954) 665-1200

4590 Pga Blvd
Ste 204
Palm Beach Gardens, FL 33418
Phone (561) 223-1066

5090 Pga Blvd
Ste 316
Palm Beach Gardens, FL 33418
Phone (561) 223-1066

2000 NW 150th Ave
#210
Pembroke Pines, FL 33028

9000 Sheridan St
#110
Pembroke Pines, FL 33024

2000 NW 150th Ave
Ste 2109
Pembroke Pines, FL 33028
Phone (786) 577-8204

7800 W Oakland Park Blvd
#D211
Sunrise, FL 33351

12008 South Shore Blvd
Ste 210211
Wellington, FL 33414
Phone (561) 223-1066

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1265815351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 S UNIVERSITY DR STE 308",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285310",
            "telephone_number": "954-378-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S UNIVERSITY DR STE 308",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285310",
            "telephone_number": "543-785-3819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Broward Blvd Ste 310308",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333012008",
            "country_code": "US",
            "telephone_number": "954-378-3851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5090 Pga Blvd Ste 316",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334183957",
            "country_code": "US",
            "telephone_number": "561-223-1066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12008 S Shore Blvd Ste 210&211",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334146395",
            "country_code": "US",
            "telephone_number": "561-223-1066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 S State Road 7 Ste 108",
            "address_purpose": "LOCATION",
            "city": "Royal Palm Beach",
            "state": "FL",
            "postal_code": "334144304",
            "country_code": "US",
            "telephone_number": "561-223-1066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 NW 150th Ave Ste 2109",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330282870",
            "country_code": "US",
            "telephone_number": "954-378-5381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMANDA PATTERSON, LMHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-258-8845",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10243",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "MH10243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.