Individual provider Active NPI

Amanda King, PLMHP

  • Mental Health Counselor
  • Kearney, NE
National Provider Identifier
1619753142
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13503 Issued in NE
Practice address
2715 W 39TH St
Kearney, NE 68845-8229
Phone
(308) 270-7034
NPI assigned
Aug 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 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 13503 NE Primary

Addresses

Primary practice location

2715 W 39TH St
Kearney, NE 68845-8229

Mailing address

2715 W 39TH St
Kearney, NE 68845-8229
Phone (308) 270-7034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20260417002051 NE Practitioner - Mental Health Counselor 1557837440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citycare Counseling IncGroup PAC ID 4486148665, 17 clinicians

Practice addresses (Care Compare)

2715 W 39TH St
Kearney, NE 68845-8243
Phone (402) 916-9421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13503NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Citycare Counseling, Inc Mental Health CurrentSince Oct 30, 2025 Accepting new patients

Locations

2715 W 39th St
Kearney, NE 68845
Phone (308) 270-7034

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1619753142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 W 39TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458229",
            "telephone_number": "308-270-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 W 39TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458229",
            "telephone_number": "308-270-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "AMANDA",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "13503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.