Individual provider Active NPI

Amanda Rich Sheeley, M.S., QBHP

  • Mental Health Counselor
  • Greendale, IN
National Provider Identifier
1568898450
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
181 US Highway 50 E Ste 102
Greendale, IN 47025-8584
Phone
(812) 458-5287
NPI assigned
Sep 24, 2013
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

181 US Highway 50 E Ste 102
Greendale, IN 47025-8584

Mailing address

181 US Highway 50 E Ste 102
Greendale, IN 47025-8584
Phone (812) 458-5287

Other practice location 1

425 W Eads Pkwy
Lawrenceburg, IN 47025-1139
Phone (812) 537-1302 ext. 3546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20231122002948 IN Practitioner - Mental Health Counselor 3577911940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

181 US Hwy 50 E
Suite 102
Greendale, IN 47025-8584
Phone (812) 458-5287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Tri-State Counseling, LLC Mental Health CurrentSince Nov 16, 2023 Accepting new patients

Locations

181 US Highway 50 E
Ste 102
Greendale, IN 47025
Phone (812) 458-5287

281 Bielby Rd
Lawrenceburg, IN 47025
Phone (812) 537-7378

285 Bielby Rd
Lawrenceburg, IN 47025
Phone (812) 537-1302

401 W Eads Pkwy
Lawrenceburg, IN 47025
Phone (513) 846-2482

401 W Eads Pkwy
Ste 450
Lawrenceburg, IN 47025
Phone (574) 248-1706

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": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1568898450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 US HIGHWAY 50 E STE 102",
            "city": "GREENDALE",
            "state": "IN",
            "postal_code": "470258584",
            "telephone_number": "812-458-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 US HIGHWAY 50 E STE 102",
            "city": "GREENDALE",
            "state": "IN",
            "postal_code": "470258584",
            "telephone_number": "812-458-5287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 W Eads Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "IN",
            "postal_code": "470251139",
            "country_code": "US",
            "telephone_number": "812-537-1302 x3546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEELEY",
        "first_name": "AMANDA",
        "middle_name": "RICH",
        "name_prefix": "Mrs.",
        "credential": "M.S., QBHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greendale, IN

Sources for this page

Verify at the official NPI Registry.