Active NPI
Amanda Harvey, LPC ASSOCIATE
- Counselor
- Austin, TX
National Provider Identifier
1548970890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 83710
- Practice address
- 8700 Menchaca Rd Ste 804
Austin, TX 78748-5379 - Phone
- (512) 270-1489
- NPI assigned
- Nov 28, 2022
- Last updated
- Nov 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 83710 | TX | Primary |
Addresses
Primary practice location
8700 Menchaca Rd Ste 804
Austin, TX 78748-5379
Mailing address
108 Concord Cir
Austin, TX 78737-9061
Phone (512) 689-3003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 23, 2024 through Sep 23, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83710 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1548970890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 CONCORD CIR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787379061",
"telephone_number": "512-689-3003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 MENCHACA RD STE 804",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787485379",
"telephone_number": "512-270-1489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARVEY",
"first_name": "AMANDA",
"credential": "LPC ASSOCIATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-28",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "83710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.