Individual provider Active NPI

Amanda Mae Hichborn

  • Mental Health Counselor
  • Westfield, MA
National Provider Identifier
1407369432
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11351 Issued in MA
Practice address
94 N Elm St
Westfield, MA 01085-1647
Phone
(413) 540-1234
NPI assigned
Nov 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11351 MA Primary

Addresses

Primary practice location

94 N Elm St
Westfield, MA 01085-1647

Mailing address

332 Birnie Ave
Springfield, MA 01107-1104
Phone (413) 733-6624

Other practice location 1

332 Birnie Ave
Springfield, MA 01107-1104
Phone (413) 733-6624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240109004094 MA Practitioner - Mental Health Counselor 2365893872 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Counseling Center, Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients
River Valley Counseling Center, Inc PastSince Mar 12, 2024 Accepting new patients

Locations

303 Beech St
Holyoke, MA 01040
Phone (413) 540-1155

94 N Elm St
Westfield, MA 01085
Phone (413) 437-9294

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/rvccinc/r4/

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": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1407369432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 BIRNIE AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071104",
            "telephone_number": "413-733-6624",
            "fax_number": "413-439-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 N ELM ST",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851647",
            "telephone_number": "413-540-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "332 Birnie Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011071104",
            "country_code": "US",
            "telephone_number": "413-733-6624",
            "fax_number": "413-439-2109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICHBORN",
        "first_name": "AMANDA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "11351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, MA

Sources for this page

Verify at the official NPI Registry.