Individual provider Active NPI

Amanda Williams, LPC

  • Professional Counselor
  • Little Rock, AR
National Provider Identifier
1366055014
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2308016 Issued in AR
Practice address
400 W Capitol Ave
Little Rock, AR 72201-3436
Phone
(405) 641-3923
NPI assigned
Aug 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P2308016 AR Primary
Mental Health Counselor 101YM0800X P2308016 AR

Addresses

Primary practice location

400 W Capitol Ave
Little Rock, AR 72201-3436

Mailing address

301 Bunker Hill Ave
White Hall, AR 71602-2506
Phone (405) 641-3923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231229001813 AR Practitioner - Marriage and Family Therapist 8628426632 Reassigns benefits to 2 organizations
I20251021002295 AR Practitioner - Mental Health Counselor 8628426632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maci Scudder TherapyGroup PAC ID 3274974654, 5 clinicians

Practice addresses (Care Compare)

1501 N University Ave
Suite 915
Little Rock, AR 72207-5238
Phone (501) 492-6860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P2308016ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ouachita Regional Counseling & Mental Health Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Ouachita Regional Counseling and Mental Health Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Maci Scudder Therapy CurrentSince Sep 1, 2025 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Aug 1, 2025 Accepting new patients

Locations

125 Wellness Way
Hot Springs National Park, AR 71913
Phone (501) 620-5231

1501 N University Ave
Ste 915
Little Rock, AR 72207
Phone (501) 492-6860

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1366055014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BUNKER HILL AVE",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716022506",
            "telephone_number": "405-641-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CAPITOL AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722013436",
            "telephone_number": "405-641-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AMANDA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2308016",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P2308016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.