Individual provider Active NPI

Amanda Rebecca Saxe, MA, LPC

  • Professional Counselor
  • W Bloomfield, MI
National Provider Identifier
1417185554
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401011386 Issued in MI
Practice address
5745 W. Maple Rd Suite 213
W. Bloomfield, MI 48322
Phone
(810) 623-3261
Fax
(844) 893-1355
NPI assigned
Jun 28, 2009
Last updated
Apr 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X L1999026 MI
Professional Counselor 101YP2500X 6401011386 MI Primary

Addresses

Primary practice location

5745 W. Maple Rd Suite 213
W. Bloomfield, MI 48322

Mailing address

5745 W. Maple Rd Suite 213
W. Bloomfield, MI 48322
Phone (810) 623-3261

Other identifiers 1

IdentifierTypeStateIssuer
101YM0800XMedicaidMI

Other names 1

  • Mrs. Amanda Carr Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
6401011386MIMDProfessional Counselor
L1999026MIMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1417185554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5745 W. MAPLE RD SUITE 213",
            "city": "W. BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "810-623-3261",
            "fax_number": "844-893-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5745 W. MAPLE RD SUITE 213",
            "city": "W. BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "810-623-3261",
            "fax_number": "844-893-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAXE",
        "first_name": "AMANDA",
        "middle_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-28",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "L1999026",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YM0800X",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "CARR",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in W Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.