Amanda Doris Maddy, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

177 Middletown Rd Ste 4
Fairmont, WV 26554-8254

Phone

(304) 367-9191

NPI assigned

Feb 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• United Summit Center Inc

  • Mental Health Counselor
  • Clarksburg, WV
  • NPI 1750332524
  NPD
• West Virginia University Medical Corporation

  • Family Medicine Physician
  • Morgantown, WV
  • NPI 1275504508
  NPD (past)

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1295368421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BAKERS LNDG",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052792",
            "telephone_number": "703-579-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 MIDDLETOWN RD STE 4",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548254",
            "telephone_number": "304-367-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDY",
        "first_name": "AMANDA",
        "middle_name": "DORIS",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggi Louk
• Daylasia Lowe
• Brooklyn Nicole Lucas
• Heather Lucas
• Amber Macloughlin
• Todd Ashley Mages, M.D.
• Stephanie Magnone, DPT
• Peggy Ann Malanosky, LMT
• Manchin Clinic South
• Manchin Wva Facility Operations LLC

• Professional Counselor in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Professional Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.