Amanda Avery Risley, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

003082 Issued in CT

Practice address

10 Higgins Hwy Ste 14
Mansfield Center, CT 06250-1437

Phone

(860) 933-9937

Fax

(860) 228-8106

NPI assigned

Mar 25, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.risley@xdr.hhchealthdirect.org

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.

• Wise Mind Therapy & Counseling LLC

  • Professional Counselor
  • Mansfield Center, CT
  • NPI 1972041267
  Medicare reassignment NPD Authorized official
• Community Health Resources, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Windsor, CT
  • NPI 1215979810
  NPD (past)

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1427475730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HIGGINS HWY STE 14",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501437",
            "telephone_number": "860-933-9937",
            "fax_number": "860-228-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HIGGINS HWY STE 14",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501437",
            "telephone_number": "860-933-9937",
            "fax_number": "860-228-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISLEY",
        "first_name": "AMANDA",
        "middle_name": "AVERY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Edward Quensen, MFT
• Champakamala Honganur Rajanna, M.D.,
• Ralph J. Laguardia, M.D, P.C.
• Jonathan Matthew Raub, M.D., M.P.H., M.A.
• Jasmain Reese
• Phoebe Ritrovato, LMSW
• Alice Rivard
• Jessie Marie Rivera
• Michael A. Rivera, L.C.S.W.
• Rolando Rivera

• Professional Counselor in Mansfield Center, CT
• Providers in Mansfield Center, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.

Verify at the official NPI Registry.