Individual provider Active NPI

Amanda Dow

  • Professional Counselor
  • Springfield, MO
National Provider Identifier
1396235255
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2019032540 Issued in MO
Practice address
636 W Republic Rd Ste F100
Springfield, MO 65807-5810
Phone
(417) 862-8282
NPI assigned
May 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 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 2019032540 MO Primary

Addresses

Primary practice location

636 W Republic Rd Ste F100
Springfield, MO 65807-5810

Mailing address

636 W Republic Rd Ste F100
Springfield, MO 65807-5810
Phone (417) 862-8282

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

State licenses

LicenseStateTypeSpecialty
2019032540MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
McGuire Christian Counseling Inc. CurrentSince Aug 14, 2022 Accepting new patients
Eagle Crest Counseling Center, Inc. CurrentSince Aug 14, 2022 Accepting new patients

Locations

636 W Republic Rd
Ste F100
Springfield, MO 65807
Phone (417) 862-8282

Organizations & group practices 2

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": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1396235255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 W REPUBLIC RD STE F100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075810",
            "telephone_number": "417-862-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 W REPUBLIC RD STE F100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075810",
            "telephone_number": "417-862-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOW",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2019032540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.