Active NPI
Amanda Havill Adgate, MA, LMHC, LCMHC
- Mental Health Counselor
- Gastonia, NC
National Provider Identifier
1659153971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14476
- Practice address
- 1251 Lochshire LN
Gastonia, NC 28054-6469 - Phone
- (352) 638-2281
- NPI assigned
- Oct 20, 2023
- Last updated
- Oct 20, 2023
- 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 | MH13791 | FL | |
| Mental Health Counselor | 101YM0800X | 14476 | NC | Primary |
Addresses
Primary practice location
1251 Lochshire LN
Gastonia, NC 28054-6469
Mailing address
1251 Lochshire LN
Gastonia, NC 28054-6469
Phone (352) 638-2281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14476 | NC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
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, 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": "1697760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1659153971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 LOCHSHIRE LN",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280546469",
"telephone_number": "352-638-2281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 LOCHSHIRE LN",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280546469",
"telephone_number": "352-638-2281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADGATE",
"first_name": "AMANDA",
"middle_name": "HAVILL",
"credential": "MA, LMHC, LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-20",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH13791",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "14476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
- George Edward Adcock III, M.D.
- Tyler Adcock, PHARM.D.
- Elizabeth Q Addo, REGISTERED NURSE
- Joseph Olatunde Adedokun, LCAS
- Elisa Adelphin, PT
- Brittany Adisa, MA, LCMHCS
- Kacie Marie Adkins, M.S., CCC-SLP
- Lidia Sanda Adkins
- Adoration Home Health Care Virginia LLC (Adoration Home Health)
- Adore Her LLC (Gracious Hearts Home Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.