Individual provider Active NPI

Amy Lynne Justice, NCC, LCMHC

  • Mental Health Counselor
  • Asheville, NC
National Provider Identifier
1609316967
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12636 Issued in NC
Practice address
204 Charlotte Hwy Ste E
Asheville, NC 28803-8681
Phone
(828) 333-5708
Fax
(828) 484-1025
NPI assigned
Mar 6, 2017
Last updated
Oct 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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 A12636 NC
Mental Health Counselor 101YM0800X 12636 NC Primary

Addresses

Primary practice location

204 Charlotte Hwy Ste E
Asheville, NC 28803-8681

Mailing address

399 Fox Fire Estates Cir
Waynesville, NC 28785-8999
Phone (910) 779-9267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240208001417 NC Practitioner - Mental Health Counselor 4486097235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All-American Counseling WellnessGroup PAC ID 1850651076, 8 clinicians

Practice addresses (Care Compare)

5619 Ramsey St
Fayetteville, NC 28311-1423
Phone (833) 846-3463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A12636NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
All-American Counseling Wellness CurrentSince Jan 1, 2024 Accepting new patients
Responder Support Services Mental Health CurrentSince Oct 11, 2020 Accepting new patients

Locations

204 Charlotte Hwy
Ste E
Asheville, NC 28803
Phone (828) 333-5708

5619 Ramsey St
Fayetteville, NC 28311
Phone (910) 489-1405

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": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1609316967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 FOX FIRE ESTATES CIR",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287858999",
            "telephone_number": "910-779-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CHARLOTTE HWY STE E",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288038681",
            "telephone_number": "828-333-5708",
            "fax_number": "828-484-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "AMY",
        "middle_name": "LYNNE",
        "credential": "NCC, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A12636",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "12636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.