Active NPI
Amanda Barnes, MA
- Mental Health Counselor
- St Augustine, FL
National Provider Identifier
1518689876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH26825
- Practice address
- 150 Southpark Blvd Ste 208
St Augustine, FL 32086-5179 - Phone
- (904) 675-0739
- NPI assigned
- Sep 14, 2022
- Last updated
- Nov 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH22525 | FL | |
| Mental Health Counselor | 101YM0800X | MH26825 | FL | Primary |
Addresses
Primary practice location
150 Southpark Blvd Ste 208
St Augustine, FL 32086-5179
Mailing address
15 Franciscan Way
St Augustine, FL 32080-5307
Phone (623) 760-6879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
150 Southpark Blvd
Suite 208
St Augustine, FL 32086-5122
2131 NE 43Rd St
Ocala, FL 34479-2586
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH22525 | FL | MD | Mental Health Counselor |
| MH26825 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Growth Sta | Mental Health | Current | Accepting new patients |
Locations
150 Southpark Blvd
Ste 208
St Augustine, FL 32086
Phone (904) 429-7076
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1518689876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 FRANCISCAN WAY",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320805307",
"telephone_number": "623-760-6879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 SOUTHPARK BLVD STE 208",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865179",
"telephone_number": "904-675-0739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "AMANDA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-14",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH22525",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH26825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.