Individual provider Active NPI

Amanda Pitt, M.A., NCC, LPC

  • Professional Counselor
  • Laramie, WY
National Provider Identifier
1366877334
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-1629 Issued in WY
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

Updated by the provider on May 24, 2021

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 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, WI2 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
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. 19 clinicians

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

LicenseStateTypeSpecialty
LPC-1629WYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Hospital, Inc. CurrentSince Jan 1, 2024 Accepting new patients
St. Croix Regional Medical Center CurrentSince Jan 9, 2024 Accepting new patients
Group Health, Inc. CurrentSince Apr 17, 2024 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Lakeview Memorial Hospital Association Inc CurrentSince Jan 1, 2024 Accepting new patients
Lakeview Memorial Hospital Association Inc. CurrentSince Jan 1, 2024 Accepting new patients
Westfields Hospital, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Hudson Hospital, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Westfields Hospital, Inc CurrentSince Jan 1, 2024 Accepting new patients
Group Health, Inc. CurrentSince Apr 17, 2024 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
St. Croix Regional Medical Center CurrentSince Jan 9, 2024 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.

View all 16

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

Verify at the official NPI Registry.