Active NPI
Amanda Pitt, M.A., NCC, LPC
- Professional Counselor
- Laramie, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-1629
- Practice address
- 1263 N 15TH St
Laramie, WY 82072-2343 - Phone
- (307) 745-8915
- NPI assigned
- Sep 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-1629 | WY | Primary |
| Counselor | 101Y00000X | LPC-1629 | WY |
Addresses
Primary practice location
1263 N 15TH St
Laramie, WY 82072-2343
Mailing address
1263 N 15TH St
Laramie, WY 82072-2343
Phone (307) 745-8915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240205002794 | MN | Practitioner - Mental Health Counselor | 9830532050 | Reassigns benefits to 1 organization |
| I20240205003337 | WI | Practitioner - Mental Health Counselor | 9830532050 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakeview Memorial Hospital Association, Inc.
Practice addresses (Care Compare)
927 Churchill W St
Stillwater, MN 55082-6605
Phone (651) 439-5330
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-1629 | WY | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Hospital, Inc. | Current | Accepting new patients | |
| St. Croix Regional Medical Center | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Lakeview Memorial Hospital Association Inc | Current | Accepting new patients | |
| Lakeview Memorial Hospital Association Inc. | Current | Accepting new patients | |
| Westfields Hospital, Inc. | Current | Accepting new patients | |
| Hudson Hospital, Inc. | Current | Accepting new patients | |
| Westfields Hospital, Inc | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| St. Croix Regional Medical Center | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients |
Locations
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
927 Churchill St W
Stillwater, MN 55082
Phone (651) 430-4529
265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301
405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000
535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013
744 E Louisiana St
St Croix Fls, WI 54024
Phone (651) 772-6251
216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426
235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221
Organizations & group practices 16
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.
-
- Neonatal Nurse Practitioner
- Stillwater, MN
- NPI 1821114729
MN
-
- Pharmacy
- Stillwater, MN
- NPI 1326124454
-
- General Acute Care Hospital
- Stillwater, MN
- NPI 1538138003
-
- Home Health Agency
- Oak Park Heights, MN
- NPI 1174522239
-
- Community Based Hospice Care Agency
- Stillwater, MN
- NPI 1245225150
-
- Rural Health Clinic/Center
- Luck, WI
- NPI 1851345268
-
- Multi-Specialty Clinic/Center
- Hudson, WI
- NPI 1427420181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1366877334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1263 N 15TH ST",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820722343",
"telephone_number": "307-745-8915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1263 N 15TH ST",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820722343",
"telephone_number": "307-745-8915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITT",
"first_name": "AMANDA",
"credential": "M.A., NCC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-10",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "LPC-1629",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WY",
"license": "LPC-1629",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.