Amanda Lee Northcutt, PLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2021047096 Issued in MO

Practice address

5501 Delmar Blvd Ste B300
Saint Louis, MO 63112-3078

Phone

(314) 814-5976

NPI assigned

Mar 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Behavioral Health Response, Inc

  • Counselor
  • Saint Louis, MO
  • NPI 1023546967
  NPD

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1356091268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 DELMAR BLVD STE B300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631123078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 DELMAR BLVD STE B300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631123078",
            "telephone_number": "314-814-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHCUTT",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021047096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North County Health Care, Inc
• North County Orthopaedics, Inc.
• North Side Foot Clinic P.C.
• North Valley Nursing & Rehabilitation Center LLC
• Karen Suzanne Northcott, MSW, LCSW
• Northeast Ambulance and Fire Protection District
• Northeastern Nursing & Rehabilitation Center LLC
• Northern Family Adult Daycare LLC
• Northern Family Home Health Care LLC
• Northern Family in Home Services LLC

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.