Amanda Bernal, LMSW

Individual provider Active NPI Mental Health Counselor · Taos, NM

NPI 1477272037 · NPPES record last updated Jan 27, 2026

Key facts

NPI
1477272037
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
SWB-2023-1290 (NM)
Practice address
1331 Gusdorf Rd
Taos, NM 87571-6282
Phone
(575) 758-3601
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SWB-2023-1290NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
El Centro Family Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Mental Health Counselor 101YM0800X SWB-2023-1290 NM Yes

Addresses

Primary practice location

1331 Gusdorf Rd
Taos, NM 87571-6282

Mailing address

538 N Paseo de Onate
Espanola, NM 87532-2618
Phone (505) 753-7218

Other names

  • Amanda Mason Former name

Other providers in Taos, NM

All providers in Taos, NM · Mental Health Counselor in New Mexico

Sources for this page

Verify at the official NPI Registry.