Individual provider Active NPI

Amanda Louise Hampton, LPC

  • Mental Health Counselor
  • Mesa, AZ
National Provider Identifier
1558619239
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-18366 Issued in AZ
Practice address
1801 S Extension Rd
Mesa, AZ 85210-5969
Phone
(801) 298-2000
NPI assigned
Aug 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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
Mental Health Counselor 101YM0800X LPC-18366 AZ Primary

Addresses

Primary practice location

1801 S Extension Rd
Mesa, AZ 85210-5969

Mailing address

9917 W Kino LN
Phoenix, AZ 85037-5245
Phone (801) 259-9969

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
LPC-18366AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Therapy Center LLC Current Accepting new patients
Ocd Anxiety Centers Arizona LLC CurrentSince Mar 31, 2024 Accepting new patients
Volunteers of America Past Accepting new patients
Camelback Physicians Group LLC Professional Past Accepting new patients
Camelback Physicians Group LLC Past Accepting new patients

Locations

1801 S Extension Rd
Mesa, AZ 85210
Phone (480) 508-9052

Organizations & group practices 5

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": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1558619239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9917 W KINO LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375245",
            "telephone_number": "801-259-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S EXTENSION RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105969",
            "telephone_number": "801-298-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "AMANDA",
        "middle_name": "LOUISE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-18366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.