Amanda Dawn Clark

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701015379 Issued in VA

Practice address

1621 Enterprise Dr
Lynchburg, VA 24502-5797

Phone

(434) 376-2006

NPI assigned

Sep 17, 2025

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

Medicare fee-for-service enrollment

Enrolled in VA

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

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Patrick Henry Family Services Operations

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1033724216
  Medicare reassignment NPD
• Patrick Henry Boys and Girls Plantation, Inc

  • Professional Counselor
  • Lynchburg, VA
  • NPI 1710185897
  NPD

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1518838846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 ENTERPRISE DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025797",
            "telephone_number": "434-376-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 ENTERPRISE DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025797",
            "telephone_number": "434-376-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "AMANDA",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701015379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Noel Claiborne, D.D.S.
• Shane R Claiborne, DDS
• Clinton Earl Clapp, M.D.
• Susan B Clapp, AGNP
• Morgan Grace Clark Ashburn, MSN, APRN, FNP-C
• Carrie Arrington Clark, NP
• Charla Clark
• Frances Sherrelle Clark
• Hal Cliford Clark, M.D.
• Katelynn Clark

• Mental Health Counselor in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.