Organization Active NPI

Underwood Therapy PLLC

Doing business as Underwood Therapy

  • Marriage & Family Therapist
  • Cookeville, TN
National Provider Identifier
1497321053
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
UNDERWOOD THERAPY PLLC
Doing business as
Underwood Therapy
Practice address
320 E Broad St FL 2
Cookeville, TN 38501-3382
Phone
(931) 219-9320
NPI assigned
Jun 2, 2021
Last updated
Jun 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Authorized official

Name
Ms. Amanda Michelle Underwood, MS-MFT, LMFTNPI 1821463670
Title
Owner/Therapist
Phone
(931) 219-9320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

320 E Broad St FL 2
Cookeville, TN 38501-3382

Mailing address

1030 Mitchell Ave
Cookeville, TN 38501-1852
Phone (931) 219-9320

Other identifiers 1

IdentifierTypeStateIssuer
Q066566MedicaidTN

Other names 2

  • Underwood Therapy Doing business as
  • Underwood Therapy LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240904001350 TN Part B Supplier - Clinic/Group Practice 1153861265 Receives reassigned benefits from 1 practitioner
Practice locations: Cookeville, TN

National Provider Directory

National Provider Directory

Locations

320 E Broad St
Ste 2
Cookeville, TN 38501

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1497321053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 MITCHELL AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011852",
            "telephone_number": "931-219-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E BROAD ST FL 2",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013382",
            "telephone_number": "931-219-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDERWOOD THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "931-219-9320",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS-MFT, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q066566",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Underwood Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Underwood Therapy LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.