Individual provider Active NPI

Amanda Owen Underwood, M.A., LPC-S

  • Professional Counselor
  • Plano, TX
National Provider Identifier
1497881304
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
19882 Issued in TX
Practice address
6010 W Spring Creek Pkwy Ste 232
Plano, TX 75024-3569
Phone
(469) 767-6888
Fax
(972) 848-9777
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 19882 TX
Professional Counselor 101YP2500X 19882 TX Primary

Addresses

Primary practice location

6010 W Spring Creek Pkwy Ste 232
Plano, TX 75024-3569

Mailing address

3615 Foxboro LN
Carrollton, TX 75007-2937
Phone (469) 767-6888

Other identifiers 1

IdentifierTypeStateIssuer
1306304134OtherNPI2 FOR AMANDA OWEN COUNSELING SERVICES PLLC

Other names 1

  • Amanda L Owen Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
19882TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Owen Counseling Services, PLLC CurrentSince Jan 21, 2022 Accepting new patients
Lifeworks Counseling Center PLLC Mental Health Past Accepting new patients

Locations

6010 W Spring Creek Pkwy
Ste 232
Plano, TX 75024
Phone (469) 767-6888

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1497881304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 FOXBORO LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072937",
            "telephone_number": "469-767-6888",
            "fax_number": "972-848-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 W SPRING CREEK PKWY STE 232",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243569",
            "telephone_number": "469-767-6888",
            "fax_number": "972-848-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "AMANDA",
        "middle_name": "OWEN",
        "credential": "M.A., LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "19882",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI2 FOR AMANDA OWEN COUNSELING SERVICES PLLC",
            "identifier": "1306304134",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "OWEN",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.