Individual provider Active NPI

Amanda Sieg, LPC

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1427519545
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
72617 Issued in TX
Practice address
5924 Lakeside Dr
Fort Worth, TX 76179-6612
Phone
(817) 668-0513
NPI assigned
Mar 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 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 72617 TX Primary

Addresses

Primary practice location

5924 Lakeside Dr
Fort Worth, TX 76179-6612

Mailing address

5924 Lakeside Dr
Fort Worth, TX 76179-6612
Phone (817) 668-0513

Other practice location 1

1668 Keller Pkwy
Keller, TX 76248-3702
Phone (713) 828-0243

Other practice location 2

129 Applewood Ln
Haslet, TX 76052-3809
Phone (713) 828-0243

Other names 1

  • Amanda Borg 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

State licenses

LicenseStateTypeSpecialty
72617TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Know Your Worth Counseling and Wellness Professional CurrentSince Apr 3, 2022 Accepting new patients

Locations

1560 E Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (682) 800-2228

Organizations & group practices 1

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": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1427519545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 LAKESIDE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761796612",
            "telephone_number": "817-668-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 LAKESIDE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761796612",
            "telephone_number": "817-668-0513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1668 Keller Pkwy",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762483702",
            "country_code": "US",
            "telephone_number": "713-828-0243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "129 Applewood Ln",
            "address_purpose": "LOCATION",
            "city": "Haslet",
            "state": "TX",
            "postal_code": "760523809",
            "country_code": "US",
            "telephone_number": "713-828-0243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEG",
        "first_name": "AMANDA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "72617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BORG",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.