Individual provider Active NPI

Amanda Lashaun Wesley, LPCA

  • Mental Health Counselor
  • Columbia, SC
National Provider Identifier
1457022295
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10429 Issued in SC
Practice address
103 Oak Cove Dr
Columbia, SC 29229-7513
Phone
(912) 581-5695
NPI assigned
Sep 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-185844 GA
Mental Health Counselor 101YM0800X 10429 SC Primary

Addresses

Primary practice location

103 Oak Cove Dr
Columbia, SC 29229-7513

Mailing address

103 Oak Cove Dr
Columbia, SC 29229-7513
Phone (912) 581-5695

Other practice location 1

5000 Business Center Dr Ste 500
Savannah, GA 31405-7423
Phone (912) 295-4956

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
10429SCMDMental Health Counselor
RBT-21-185844GAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1457022295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 OAK COVE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297513",
            "telephone_number": "912-581-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 OAK COVE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297513",
            "telephone_number": "912-581-5695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Business Center Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314057423",
            "country_code": "US",
            "telephone_number": "912-295-4956",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "AMANDA",
        "middle_name": "LASHAUN",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-21-185844",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "10429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.