Individual provider Active NPI

Amanda Wells, LPC-MHSP (TEMP)

  • Mental Health Counselor
  • Nashville, TN
National Provider Identifier
1578123147
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6662 Issued in TN
Practice address
2525 Lebanon Pike # 202
Nashville, TN 37214-2414
Phone
(615) 601-0580
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6662 TN Primary
Behavior Technician 106S00000X
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2525 Lebanon Pike # 202
Nashville, TN 37214-2414

Mailing address

210 2ND Ave S
Franklin, TN 37064-2650
Phone (615) 656-0232

Other practice location 1

210 2nd Ave S
Franklin, TN 37064-2650
Phone (615) 656-0232

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

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1578123147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 2ND AVE S",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370642650",
            "telephone_number": "615-656-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 LEBANON PIKE # 202",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372142414",
            "telephone_number": "615-601-0580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 2nd Ave S",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370642650",
            "country_code": "US",
            "telephone_number": "615-656-0232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "AMANDA",
        "credential": "LPC-MHSP (TEMP)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "6662",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.