Individual provider Active NPI

Amanda Denise Barclay

  • Counselor
  • Plano, TX
National Provider Identifier
1275304305
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
84873 Issued in TX
Practice address
5700 W Plano Pkwy Ste 3600
Plano, TX 75093-2455
Phone
(469) 829-7516
NPI assigned
Jan 9, 2024
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 84873 TX Primary

Addresses

Primary practice location

5700 W Plano Pkwy Ste 3600
Plano, TX 75093-2455

Mailing address

6800 Rainwood Dr
Plano, TX 75024-7540
Phone (972) 704-9604

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

LicenseStateTypeSpecialty
84873TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Your Living Well PLLC CurrentSince Jan 14, 2024 Accepting new patients

Locations

5700 W Plano Pkwy
Ste 3600
Plano, TX 75093
Phone (469) 829-7516

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1275304305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 RAINWOOD DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247540",
            "telephone_number": "972-704-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 W PLANO PKWY STE 3600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932455",
            "telephone_number": "469-829-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCLAY",
        "first_name": "AMANDA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "84873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.