Active NPI
Amanda Leann Phy, LPC-MHSP
- Professional Counselor
- Cookeville, TN
National Provider Identifier
1386571230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7879
- Practice address
- 128 N Whitney Ave
Cookeville, TN 38501-2493 - Phone
- (931) 267-1663
- NPI assigned
- May 5, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7879 | TN | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 7879 | TN | |
| Professional Counselor | 101YP2500X | 7879 | TN | Primary |
Addresses
Primary practice location
128 N Whitney Ave
Cookeville, TN 38501-2493
Mailing address
128 N Whitney Ave
Cookeville, TN 38501-2493
Phone (931) 267-1663
Other practice location 1
606 E Spring St Ste 100
Cookeville, TN 38501-5067
Phone (931) 526-6042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7879 | TN | MD | Speech-Language Pathologist |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1386571230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 N WHITNEY AVE",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012493",
"telephone_number": "931-267-1663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 N WHITNEY AVE",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012493",
"telephone_number": "931-267-1663"
}
],
"practiceLocations": [
{
"address_1": "606 E Spring St Ste 100",
"address_purpose": "LOCATION",
"city": "Cookeville",
"state": "TN",
"postal_code": "385015067",
"country_code": "US",
"telephone_number": "931-526-6042",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHY",
"first_name": "AMANDA",
"middle_name": "LEANN",
"credential": "LPC-MHSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-05",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "7879",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TN",
"license": "7879",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "7879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.