Individual provider Active NPI

Amanda Speakes, LPCC

  • Professional Counselor
  • Mt Sterling, KY
National Provider Identifier
1437597341
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
167908 Issued in KY
Practice address
300 Foxglove Dr
Mt Sterling, KY 40353-9769
Phone
(859) 498-2135
Fax
(859) 498-7547
NPI assigned
Jun 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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 167908 KY Primary

Addresses

Primary practice location

300 Foxglove Dr
Mt Sterling, KY 40353-9769

Mailing address

PO Box 790
Ashland, KY 41105-0790
Phone (606) 329-8588

Other identifiers 1

IdentifierTypeStateIssuer
30610026MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240207003054 KY Practitioner - Mental Health Counselor 8628411501 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
167908KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Recover Together, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

277 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 435-0888

1501 S Main St
Ste H
London, KY 40741
Phone (270) 634-0472

111 S Bedford St
Ste 205
Burlington, MA 01803
Phone (512) 439-3547

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": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1437597341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411050790",
            "telephone_number": "606-329-8588",
            "fax_number": "606-329-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FOXGLOVE DR",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403539769",
            "telephone_number": "859-498-2135",
            "fax_number": "859-498-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEAKES",
        "first_name": "AMANDA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "167908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30610026",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Sterling, KY

Sources for this page

Verify at the official NPI Registry.