Amanda Heather Flannery, M.ED, LPC, LICDC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1600051 Issued in OH

Practice address

452 W Market St
Xenia, OH 45385-2815

Phone

(937) 376-8700

Fax

(937) 376-8725

NPI assigned

Apr 13, 2016

Last updated

Sep 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TCN Behavioral Health Services, Inc.Group PAC ID 8224011135, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/tcn/r4/

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.

• TCN Behavioral Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Xenia, OH
  • NPI 1336118256

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• TCN Behavioral Health Services, Inc

  • Psychiatry Physician
  • Fairborn, OH
  • NPI 1770725806
  NPD
• Ridge HVP LLC

  • Substance Abuse Rehabilitation Facility
  • Batavia, OH
  • NPI 1558616375
  NPD (past)

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1619331824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 W MARKET ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852815",
            "telephone_number": "937-376-8700",
            "fax_number": "937-376-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 W MARKET ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852815",
            "telephone_number": "937-376-8700",
            "fax_number": "937-376-8725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 Chillicothe Ave",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OH",
            "postal_code": "451337378",
            "country_code": "US",
            "telephone_number": "937-393-4562",
            "fax_number": "937-393-2506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 W Techne Center Dr",
            "address_2": "Suite B-5",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "OH",
            "postal_code": "451508403",
            "country_code": "US",
            "telephone_number": "513-753-9964 x291",
            "fax_number": "513-753-9968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLANNERY",
        "first_name": "AMANDA",
        "middle_name": "HEATHER",
        "credential": "M.ED, LPC, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "140760",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "1600051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0222303",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Five Rivers Health Centers (Five Rivers Health Centers Pharmacy)
• Five Rivers Health Centers
• Five Rivers Health Centers
• Five Rivers Health Centers
• Five Rivers Health Centers
• Linda Lu Fleming
• Lindsay Niccole Florkey, O.D., M.S.
• Nicole Folks
• D'Shawn Ford
• Forrest T Fornash, PA

• Mental Health Counselor in Xenia, OH
• Providers in Xenia, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.

Verify at the official NPI Registry.