Active NPI
Amanda Crossland
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1588060073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0013537
- Practice address
- 2720 E Yampa St Ste 2G
Colorado Springs, CO 80909-5061 - Phone
- (719) 645-6549
- NPI assigned
- Nov 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0013537 | CO | |
| Professional Counselor | 101YP2500X | 0013537 | CO | Primary |
Addresses
Primary practice location
2720 E Yampa St Ste 2G
Colorado Springs, CO 80909-5061
Mailing address
3650 Queen Anne Way
Colorado Springs, CO 80917-5490
Phone (719) 645-6549
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000146406 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0013537 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Professional | Current | Accepting new patients |
| Better Days Counseling, LLC | Current | Accepting new patients |
Locations
2720 E Yampa St
Ste 2G
Colorado Springs, CO 80909
Phone (719) 413-8264
720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589
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 and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Colorado Springs, CO
- NPI 1346995750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1588060073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 QUEEN ANNE WAY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175490",
"telephone_number": "719-645-6549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 E YAMPA ST STE 2G",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809095061",
"telephone_number": "719-645-6549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSSLAND",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-10",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "0013537",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0013537",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000146406",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.