Individual provider Active NPI

Amanda Marks, LMHC

  • Mental Health Counselor
  • Waterloo, IA
National Provider Identifier
1669084844
Registry record updated Jul 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
096544 Issued in IA
Practice address
3336 Kimball Ave Ste 153
Waterloo, IA 50702-5759
Phone
(319) 595-4646
NPI assigned
Aug 19, 2020
Last updated
Jul 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2026

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 096544 IA Primary

Addresses

Primary practice location

3336 Kimball Ave Ste 153
Waterloo, IA 50702-5759

Mailing address

3336 Kimball Ave Ste 153
Waterloo, IA 50702-5759
Phone (319) 595-4646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
096544IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
North Iowa Counseling, LLC CurrentSince Aug 23, 2020 Accepting new patients
Elmstead Counseling LLC Mental Health Past Accepting new patients

Locations

506 E Bremer Ave
Waverly, IA 50677
Phone (319) 224-5397

Organizations & group practices 2

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": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783123200000",
    "number": "1669084844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 KIMBALL AVE STE 153",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025759",
            "telephone_number": "319-595-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 KIMBALL AVE STE 153",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025759",
            "telephone_number": "319-595-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "AMANDA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2026-07-04",
        "certification_date": "2026-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "096544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2026; 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.