Individual provider Active NPI

Amanda Estevez, MA, LMHC, LPC

  • Mental Health Counselor
  • Clarksville, TN
National Provider Identifier
1336423508
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6726 Issued in TN
Practice address
1298 Barkley Hills Rd
Clarksville, TN 37040-8107
Phone
(931) 272-7066
NPI assigned
Oct 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C2664 OR
Mental Health Counselor 101YM0800X LH60202674 WA
Mental Health Counselor 101YM0800X 6726 TN Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

1298 Barkley Hills Rd
Clarksville, TN 37040-8107

Mailing address

304 E Wilson St
Yacolt, WA 98675-5653
Phone (931) 272-7066

Other practice location 1

20107 NE 29th Ave
Ridgefield, WA 98642
Phone (931) 272-7066

Other practice location 2

304 E Wilson St
Yacolt, WA 98675-5653
Phone (931) 272-7066

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C2664ORMDMental Health Counselor
6726TNMDMental Health Counselor
LH60202674WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1336423508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E WILSON ST",
            "city": "YACOLT",
            "state": "WA",
            "postal_code": "986755653",
            "telephone_number": "931-272-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1298 BARKLEY HILLS RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370408107",
            "telephone_number": "931-272-7066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20107 NE 29th Ave",
            "address_purpose": "LOCATION",
            "city": "Ridgefield",
            "state": "WA",
            "postal_code": "98642",
            "country_code": "US",
            "telephone_number": "931-272-7066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "304 E Wilson St",
            "address_purpose": "LOCATION",
            "city": "Yacolt",
            "state": "WA",
            "postal_code": "986755653",
            "country_code": "US",
            "telephone_number": "931-272-7066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTEVEZ",
        "first_name": "AMANDA",
        "credential": "MA, LMHC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2664",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60202674",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "6726",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.