Active NPI
Amanda Marlowe Wilkins, LCMHC, NCC
- Mental Health Counselor
- Whiteville, NC
National Provider Identifier
1396971396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2118
- Practice address
- 102 W Main St Ste a
Whiteville, NC 28472-4012 - Phone
- (910) 518-0432
- Fax
- (910) 207-6326
- NPI assigned
- Jun 3, 2009
- 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 | 2118 | NC | |
| Mental Health Counselor | 101YM0800X | 2118 | NC | Primary |
Addresses
Primary practice location
102 W Main St Ste a
Whiteville, NC 28472-4012
Mailing address
117 E Oliver St
Whiteville, NC 28472-2719
Phone (910) 642-8393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6104293 | Medicaid | NC |
Other names 1
- Miss Carrie Amanda Marlowe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2118 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pace Health Network, LLC | Current | Accepting new patients | |
| Wilmar Counseling, PLLC | Current | Accepting new patients | |
| Waccamaw Associates | Mental Health | Past | Accepting new patients |
Locations
102 W Main St
Ste A
Whiteville, NC 28472
Phone (910) 642-7463
209 W Virgil St
Whiteville, NC 28472
Phone (910) 640-2430
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Whiteville, NC
- NPI 1063960904
-
- Community/Behavioral Health Agency
- Whiteville, NC
- NPI 1679880520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1396971396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 E OLIVER ST",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284722719",
"telephone_number": "910-642-8393",
"fax_number": "910-207-6326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 W MAIN ST STE A",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284724012",
"telephone_number": "910-518-0432",
"fax_number": "910-207-6326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "AMANDA",
"middle_name": "MARLOWE",
"name_prefix": "Mrs.",
"credential": "LCMHC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-03",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "2118",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "2118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6104293",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARRIE",
"last_name": "MARLOWE",
"middle_name": "AMANDA",
"prefix": "MISS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Whiteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.