Active NPI
Amanda Cottrell, M.A., NCC, LPC-A
- Professional Counselor
- Boone, NC
National Provider Identifier
1356703300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A11573
- Practice address
- 369 Foggy LN
Boone, NC 28607-4923 - Phone
- (828) 610-8514
- NPI assigned
- Mar 28, 2016
- Last updated
- Feb 3, 2017
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A11573 | NC | Primary |
Addresses
Primary practice location
369 Foggy LN
Boone, NC 28607-4923
Mailing address
369 Foggy LN
Boone, NC 28607-4923
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 3, 2024 through Jan 3, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A11573 | NC | MD | Professional Counselor |
| 11573 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486080000000",
"number": "1356703300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "369 FOGGY LN",
"city": "BOONE",
"state": "NC",
"postal_code": "286074923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "369 FOGGY LN",
"city": "BOONE",
"state": "NC",
"postal_code": "286074923",
"telephone_number": "828-610-8514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTRELL",
"first_name": "AMANDA",
"credential": "M.A., NCC, LPC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-28",
"last_updated": "2017-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A11573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boone, NC
- Natalie Cooke Cooper, OTL
- Penelope Marie Copenhaver, O.D.
- Rick Jay Cornella, M.D.
- Cornerstone Services, Inc.
- Teresa Cornett, CFOM
- County of Watauga Office of County Accountant (Watauga County EMS)
- County of Watauga Office of County Accountant
- Raymond Lynn Coward, PHD LMFT
- Anne Hunter Cox, SLP-CF
- Craig Bridgeman DMD PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.