Individual provider Active NPI

Amanda Barnes, MA

  • Mental Health Counselor
  • St Augustine, FL
National Provider Identifier
1518689876
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH26825 Issued in FL
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251222000260 FL Practitioner - Mental Health Counselor 3870088479 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
IMH22525FLMDMental Health Counselor
MH26825FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Growth Sta Mental Health CurrentSince Nov 7, 2025 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

Verify at the official NPI Registry.