Amanda Ibanez Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

AMANDA IBANEZ COUNSELING

Practice address

605 Austin Ave Ste 4-105
Waco, TX 76701-2050

Phone

(254) 718-6013

NPI assigned

Nov 28, 2023

Last updated

Nov 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Gayle Ibanez, LCSWNPI 1326569666

Title

Owner/Therapist

Phone

(254) 722-6958

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Gayle Ibanez, LCSW

  • Clinical Social Worker
  • Waco, TX
  • NPI 1326569666

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1477329753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 AUSTIN AVE STE 4-105",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767012050",
            "telephone_number": "254-718-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 AUSTIN AVE STE 4-105",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767012050",
            "telephone_number": "254-718-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA IBANEZ COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "IBANEZ",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "254-722-6958",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo G Altahif Jr., OTD
• Rolando Alvarado, MD
• Alyce Danielle Alven, O.D
• Alzcare Waco, LLC (Sodalis Elder Living)
• Nnewueze Stella Amaechi, M.D
• Ashley Amar, MD
• Meera Amar, M.D.
• Neil Kanth Amar, M.D.
• Niran Jan Amar, M.D.
• Amd Medical PLLC

• Mental Health Counselor in Waco, TX
• Providers in Waco, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.