Active NPI
Amanda Marie Rhynes, MS, LPC; SUBSTANCE A
- Professional Counselor
- Ada, OK
National Provider Identifier
1376874032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4918
- Practice address
- The Chickasaw Nation Recovery Resource Services
1300 Hoppe Blvd. Suite 6
Ada, OK 74820 - Phone
- (580) 436-1222
- Fax
- (580) 235-0559
- NPI assigned
- Jan 20, 2010
- Last updated
- Sep 19, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Professional Counselor | 101YP2500X | 4918 | OK | Primary |
Addresses
Primary practice location
The Chickasaw Nation Recovery Resource Services
1300 Hoppe Blvd. Suite 6
Ada, OK 74820
Mailing address
Resource Management
1300 Hoppe Blvd., Suite 1
Ada, OK 74820
Phone (580) 436-7211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100646580E | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chickasaw Nation - Family Services | Professional | Past | Accepting new patients |
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.
-
- Professional Counselor
- Ada, OK
- NPI 1588968275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1376874032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RESOURCE MANAGEMENT",
"address_2": "1300 HOPPE BLVD., SUITE 1",
"city": "ADA",
"state": "OK",
"postal_code": "74820",
"telephone_number": "580-436-7211",
"fax_number": "580-272-5757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "THE CHICKASAW NATION RECOVERY RESOURCE SERVICES",
"address_2": "1300 HOPPE BLVD. SUITE 6",
"city": "ADA",
"state": "OK",
"postal_code": "74820",
"telephone_number": "580-436-1222",
"fax_number": "580-235-0559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHYNES",
"first_name": "AMANDA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MS, LPC; SUBSTANCE A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-20",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "4918",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100646580E",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.