Amanda L Bosley, LGPC
Individual provider Active NPI Professional Counselor · Oakland, MD
NPI 1306540505 · NPPES record last updated Jan 30, 2024
Key facts
- NPI
- 1306540505
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LC14765 (MD)
- Practice address
- 1025 Memorial Dr
Oakland, MD 21550-4343 - Phone
- (301) 334-7680
- Fax
- (301) 334-7681
- NPI assigned
- Mar 30, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Garrett County Health Department
Practice addresses (Care Compare)
1025 Memorial Dr
Oakland, MD 21550-4343
Phone (301) 334-7700
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240205003498 | MD | Practitioner - Mental Health Counselor | 7911340153 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP11188 | MD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garrett County Health Department | Current |
Accepting new patients | |
| Garrett County Health Dept-Substance Abuse | Current |
Accepting new patients |
Locations
1025 Memorial Dr
Oakland, MD 21550
Phone (301) 334-7680
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP11188 | MD | |
| Professional Counselor | 101YP2500X | LC14765 | MD | Yes |
Addresses
Primary practice location
1025 Memorial Dr
Oakland, MD 21550-4343
Mailing address
1025 Memorial Dr
Oakland, MD 21550-4343
Phone (301) 334-7680
Other providers in Oakland, MD
- Linda E Bolding-Colaw
- David Lee Bolinger
- Diana E Boller
- Marlana Sheridan Bollinger
- Linda S Bonnette
- Heather Machelle Bosley
- Kambrie Melissa Bosley
- Ainsley Layne Brantner
- Breathe Grace Medical Supply, LLC
- Jennifer E Brenneman
All providers in Oakland, MD · Professional Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.