Individual provider Active NPI

Amanda Whichard, MS, NCC

  • Mental Health Counselor
  • Gulfport, MS
National Provider Identifier
1558920108
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3280 Issued in MS
Practice address
240B Courthouse Rd
Gulfport, MS 39507-1214
Phone
(228) 567-4612
NPI assigned
Jun 7, 2019
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 5462 TN
Counselor 101Y00000X 3280 MS
Mental Health Counselor 101YM0800X 3280 MS Primary
Mental Health Counselor 101YM0800X 5462 TN

Addresses

Primary practice location

240B Courthouse Rd
Gulfport, MS 39507-1214

Mailing address

240B Courthouse Rd
Gulfport, MS 39507-1214
Phone (228) 567-4612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 6, 2024 through May 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3280MSMDCounselor
5462TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Insights Christian Counseling CurrentSince Aug 17, 2025 Accepting new patients
Sandpiper Counseling Current Accepting new patients

Locations

240B Courthouse Rd
Gulfport, MS 39507
Phone (228) 343-3432

Organizations & group practices 2

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": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1558920108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240B COURTHOUSE RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071214",
            "telephone_number": "228-567-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240B COURTHOUSE RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071214",
            "telephone_number": "228-567-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHICHARD",
        "first_name": "AMANDA",
        "credential": "MS, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "5462",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MS",
            "license": "3280",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "3280",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "5462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.