Individual provider Active NPI

Amanda Parmley, LCMHC

  • Professional Counselor
  • Carolina Beach, NC
National Provider Identifier
1366859167
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A10946 Issued in NC
Practice address
1328 Lake Park Blvd N Ste 109
Carolina Beach, NC 28428-3906
Phone
(704) 802-9327
NPI assigned
Jul 14, 2014
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A10946 NC Primary

Addresses

Primary practice location

1328 Lake Park Blvd N Ste 109
Carolina Beach, NC 28428-3906

Mailing address

1328 Lake Park Blvd N Ste 109
Carolina Beach, NC 28428-3906
Phone (704) 802-9327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240827001511 NC Practitioner - Mental Health Counselor 3173062825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1328 Lake Park Blvd N
Suite 109
Carolina Beach, NC 28428-3906
Phone (704) 802-9327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A10946NCMDProfessional Counselor
10946NCMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Parmley Counseling PLLC CurrentSince Jun 19, 2024 Accepting new patients

Locations

1328 Lake Park Blvd N
Ste 109
Carolina Beach, NC 28428
Phone (910) 294-0970

116 S Main St
Ste 304
Mooresville, NC 28115

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1366859167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 LAKE PARK BLVD N STE 109",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284283906",
            "telephone_number": "704-802-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 LAKE PARK BLVD N STE 109",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284283906",
            "telephone_number": "704-802-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMLEY",
        "first_name": "AMANDA",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A10946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina Beach, NC

Sources for this page

Verify at the official NPI Registry.