Individual provider Active NPI

Amanda Elizabeth Fayard, LMHC

  • Mental Health Counselor
  • Pensacola, FL
National Provider Identifier
1295675007
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH27474 Issued in FL
Practice address
1221 W Lakeview Ave
Pensacola, FL 32501-1857
Phone
(850) 469-3500
Fax
(850) 469-3500
NPI assigned
Mar 31, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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 MH27474 FL Primary

Addresses

Primary practice location

1221 W Lakeview Ave
Pensacola, FL 32501-1857

Mailing address

1221 W Lakeview Ave
Pensacola, FL 32501-1857
Phone (850) 469-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260512002750 FL Practitioner - Mental Health Counselor 7315416062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1221 W Lakeview Ave
Pensacola, FL 32501-1857

3280 Rothschild Dr
Pensacola, FL 32503-5121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH27474FLMDMental Health Counselor

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1295675007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W LAKEVIEW AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011857",
            "telephone_number": "850-469-3500",
            "fax_number": "850-469-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W LAKEVIEW AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011857",
            "telephone_number": "850-469-3500",
            "fax_number": "850-469-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYARD",
        "first_name": "AMANDA",
        "middle_name": "ELIZABETH",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH27474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.