Individual provider Active NPI

Amanda Christine Pahl, LMFTA

  • Marriage & Family Therapist
  • Durham, NC
National Provider Identifier
1467265447
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
20534A Issued in NC
Practice address
1515 W NC Highway 54 Ste 220
Durham, NC 27707-5576
Phone
(919) 297-8322
NPI assigned
Jan 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 20534A NC Primary

Addresses

Primary practice location

1515 W NC Highway 54 Ste 220
Durham, NC 27707-5576

Mailing address

1515 W NC Highway 54 Ste 220
Durham, NC 27707-5576

Other practice location 1

122 Bay Laurel Dr
Sanford, NC 27332-1249
Phone (984) 269-9632

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
20534ANCMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1467265447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W NC HIGHWAY 54 STE 220",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W NC HIGHWAY 54 STE 220",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075576",
            "telephone_number": "919-297-8322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Bay Laurel Dr",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273321249",
            "country_code": "US",
            "telephone_number": "984-269-9632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAHL",
        "first_name": "AMANDA",
        "middle_name": "CHRISTINE",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "20534A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.