Amanda Buckner, LPC
Individual provider Active NPI Professional Counselor · Floyd, VA
NPI 1467050294 · NPPES record last updated Oct 14, 2020
Key facts
- NPI
- 1467050294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701005495 (VA)
- Practice address
- 260 Webbs Mill Rd N
Floyd, VA 24091-3679 - Phone
- (540) 745-2047
- Fax
- (540) 322-1835
- NPI assigned
- Oct 14, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
209 W Main St
Floyd, VA 24091-3190
Phone (540) 529-8543
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231127002885 | VA | Practitioner - Mental Health Counselor | 0345698627 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roots and Reflections Counseling LLC | Professional | Current |
Accepting new patients |
| Healing Studio LLC | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701005495 | VA | Yes |
Addresses
Primary practice location
260 Webbs Mill Rd N
Floyd, VA 24091-3679
Mailing address
700 University City Blvd
Blacksburg, VA 24060-2706
Phone (540) 961-8300
Other practice location 1
700 University City Blvd
Blacksburg, VA 24060-2706
Phone (540) 961-8300
Other names
- Amanda Spangler
Other providers in Floyd, VA
- Jean Marie Black
- Patricia L Bowman
- Robert Rowley Bowman Jr.
- Steven Daniel Bowman
- David-Michael Boykin
- Shirley Ann Burgess
- Peter Burggraf
- Carilion Giles Community Hospital
- Carilion Healthcare Corporation
- Brittany Carr
All providers in Floyd, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.