Amanda White

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

089.0134128 Issued in VT

Practice address

2458 Christian St Ste 217
White River Junction, VT 05001-9887

Phone

(802) 432-8371

NPI assigned

Jan 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1497346159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 HEMLOCK HVN",
            "city": "HARTLAND",
            "state": "VT",
            "postal_code": "050483021",
            "telephone_number": "802-432-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2458 CHRISTIAN ST STE 217",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050019887",
            "telephone_number": "802-432-8371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Hemlock Hvn",
            "address_purpose": "LOCATION",
            "city": "Hartland",
            "state": "VT",
            "postal_code": "050483021",
            "country_code": "US",
            "telephone_number": "802-432-8371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "AMANDA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "089.0134128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.wellnesslens@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "55 Shute Rd",
            "city": "Hartland",
            "state": "VT",
            "country_code": "US",
            "postal_code": "050489636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• White River Family Eyecare, PC
• White River Junction Vamc
• White River Junction Vamc
• White River Junction Vamc
• White River Junction Veterans Hospital
• Briana Lee White, DNP, RN
• Robert White, RPH
• Caroline Elizabeth Whittington, DPM
• Katie Willard, CCC-SLP
• David Eldon Wilson III, RN

• Mental Health Counselor in White River Junction, VT
• Providers in White River Junction, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.