Active NPI
Amanda Leigh Washel, PCC
- Mental Health Counselor
- Goose Creek, SC
National Provider Identifier
1336486372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6136
- Practice address
- 108 Central Ave
Suite 5
Goose Creek, SC 29445-3079 - Phone
- (843) 499-2898
- NPI assigned
- Jan 10, 2013
- Last updated
- Jun 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6136 | SC | Primary |
Addresses
Primary practice location
108 Central Ave
Suite 5
Goose Creek, SC 29445-3079
Mailing address
108 Central Ave
Suite 5
Goose Creek, SC 29445-3079
Phone (843) 499-2898
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6136 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434931200000",
"number": "1336486372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 CENTRAL AVE",
"address_2": "SUITE 5",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294453079",
"telephone_number": "843-499-2898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 CENTRAL AVE",
"address_2": "SUITE 5",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294453079",
"telephone_number": "843-499-2898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHEL",
"first_name": "AMANDA",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "PCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-10",
"last_updated": "2015-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "6136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goose Creek, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.