Individual provider Active NPI

Amadea De Groot, LPC

  • Mental Health Counselor
  • Twin Falls, ID
National Provider Identifier
1326786385
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
284 Martin St
Twin Falls, ID 83301-4542
Phone
(208) 733-7186
NPI assigned
May 20, 2022
Last updated
May 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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 Primary

Addresses

Primary practice location

284 Martin St
Twin Falls, ID 83301-4542

Mailing address

284 Martin St
Twin Falls, ID 83301-4542
Phone (301) 974-9664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20240219002676 ID Practitioner - Mental Health Counselor 3577907435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crosspointe Mental Health LLCGroup PAC ID 8921257130, 6 clinicians

Practice addresses (Care Compare)

1363 Fillmore St
Twin Falls, ID 83301-3392
Phone (208) 736-7090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Crosspointe Mental Health, LLC Mental Health CurrentSince Feb 5, 2024 Accepting new patients
Crosspointe Mental Health, LLC Past Accepting new patients

Locations

1363 Fillmore St
Twin Falls, ID 83301
Phone (208) 736-7090

Organizations & group practices 2

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": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1326786385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 MARTIN ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014542",
            "telephone_number": "301-974-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 MARTIN ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014542",
            "telephone_number": "208-733-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GROOT",
        "first_name": "AMADEA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.