Amanda Deverich, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0717001251 Issued in VA

Practice address

500 Strawberry Plains Rd
Williamsburg, VA 23188-3442

Phone

(757) 903-2406

NPI assigned

Sep 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Williamsburg Counseling

  • Community/Behavioral Health Agency
  • Williamsburg, VA
  • NPI 1093020489
  NPD Authorized official

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1336697150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 E QUEENS DR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 STRAWBERRY PLAINS RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231883442",
            "telephone_number": "757-903-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVERICH",
        "first_name": "AMANDA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Desilva, PSY.D.
• Fanny Despota, PHARMD
• Erin C Desrosiers, PA
• Destiny'S House Residential Services, LLC.
• Darryl Dettmann, DDS
• Amber Beth Devore, RD
• DGG Medical, Inc
• Avtar S Dhillon, M.D.
• Diamond Consulting Corporation
• Rachel Shantelle Dickey, CSAC-S

• Marriage & Family Therapist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Marriage & Family Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.