Amanda B Coulbourn, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701012047 Issued in VA

Practice address

8500 Mayland Dr Ste 200
Henrico, VA 23294-4700

Phone

(804) 214-6699

NPI assigned

Jan 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1629782016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 MAYLAND DR STE 200",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944700",
            "telephone_number": "804-214-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 MAYLAND DR STE 200",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944700",
            "telephone_number": "804-214-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULBOURN",
        "first_name": "AMANDA",
        "middle_name": "B",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701012047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria R Corbin, FNP-C
• Core Health Solutions, LLC
• Corecare Transport LLC
• Cameron Fox Cosby
• Wendy Couch, LPC
• Kimberly L Cousin
• Christopher D Cox, PA
• Karen Warner Coyner, LCSW, DCSW
• Crystal Danielle Crawford, PHARMD.
• Madison Crawley

• Mental Health Counselor in Henrico, VA
• Providers in Henrico, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.