Individual provider Active NPI

Amanda Havill Adgate, MA, LMHC, LCMHC

  • Mental Health Counselor
  • Gastonia, NC
National Provider Identifier
1659153971
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14476 Issued in NC
Practice address
1251 Lochshire LN
Gastonia, NC 28054-6469
Phone
(352) 638-2281
NPI assigned
Oct 20, 2023
Last updated
Oct 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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 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, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241216000046 NC Practitioner - Mental Health Counselor 9234573353 Reassigns benefits to 1 organization
I20260325003993 TN Practitioner - Mental Health Counselor 9234573353 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
14476NCMDOrthodontics 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

Sources for this page

Verify at the official NPI Registry.