Amanda Lyne Wentworth-Puentes, TMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001580 Issued in IA

Practice address

3125 Douglas Ave Ste 100
Des Moines, IA 50310-5310

Phone

(515) 256-8001

NPI assigned

Apr 2, 2013

Last updated

Apr 2, 2013By the provider in NPPES

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

Other names 1

• Amanda Lyne Wentworth Former name

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mind and Spirit Counseling Center

  • Mental Health Counselor
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  • NPI 1578574786
  Medicare reassignment NPD
• Awp Therapy LLC

  • Mental Health Counselor
  • Des Moines, IA
  • NPI 1851184733
  NPD Authorized official
• Lifeline Resources, LLC

  • Mental Health Counselor
  • Des Moines, IA
  • NPI 1073664694
  NPD (past)

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1669715215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 DOUGLAS AVE STE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503105310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 DOUGLAS AVE STE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503105310",
            "telephone_number": "515-256-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTWORTH-PUENTES",
        "first_name": "AMANDA",
        "middle_name": "LYNE",
        "name_prefix": "Mrs.",
        "credential": "TMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WENTWORTH",
            "middle_name": "LYNE",
            "credential": "NCC, MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wellserve, LC (WellServe)
• Welsh Counseling
• Cassie Welsh
• Carissa Wemmie, LISW
• Brooklyn Eileen Wendt, M.A., CF-SLP
• Kaitlyn Werkmeister
• Kara Werth, DO
• Monica D Wescott, DNP, AGNP, RN
• Wesley at Home LLC (Wesley Community Hospice)
• Wesley at Home, LLC

• Mental Health Counselor in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.