Individual provider Active NPI

Amanda Meffert, LRIC

  • Mental Health Counselor
  • Haymarket, VA
National Provider Identifier
1508561226
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704014470 Issued in VA
Practice address
5768 Benford Dr
Haymarket, VA 20169-2503
Phone
(276) 639-0332
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0704014470 VA Primary

Addresses

Primary practice location

5768 Benford Dr
Haymarket, VA 20169-2503

Mailing address

42049 Victory LN
Leesburg, VA 20176-6322
Phone (704) 554-6300

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

State licenses

LicenseStateTypeSpecialty
0704014470VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Acadian Health Center Corporation Mental Health Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1508561226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42049 VICTORY LN",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766322",
            "telephone_number": "704-554-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5768 BENFORD DR",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201692503",
            "telephone_number": "276-639-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEFFERT",
        "first_name": "AMANDA",
        "credential": "LRIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704014470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haymarket, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.