Individual provider Active NPI

Amanda Bowling, LPCC-S

  • Counselor
  • Beachwood, OH
National Provider Identifier
1669862637
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C.1400595 Issued in OH
Practice address
24100 Chagrin Blvd Ste 330
Beachwood, OH 44122-5552
Phone
(330) 595-4590
Fax
(216) 245-6770
NPI assigned
Jan 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C.1400595 OH Primary

Addresses

Primary practice location

24100 Chagrin Blvd Ste 330
Beachwood, OH 44122-5552

Mailing address

24100 Chagrin Blvd Ste 330
Beachwood, OH 44122-5552
Phone (330) 595-4590

Other identifiers 1

IdentifierTypeStateIssuer
C.1400595-TRNEOtherOHC.1400595-TRNE (COUNSELOR TRAINEE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240729003448 OH Practitioner - Mental Health Counselor 1456897230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Behavioral Health LLCGroup PAC ID 9638471865, 20 clinicians

Practice addresses (Care Compare)

24100 Chagrin Blvd
Suite 330
Beachwood, OH 44122-5552
Phone (800) 642-4560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1400595OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Behavioral Health LLC CurrentSince May 3, 2024 Accepting new patients

Locations

24100 Chagrin Blvd
Ste 330
Beachwood, OH 44122
Phone (800) 642-4560

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1669862637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24100 CHAGRIN BLVD STE 330",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225552",
            "telephone_number": "330-595-4590",
            "fax_number": "216-245-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24100 CHAGRIN BLVD STE 330",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225552",
            "telephone_number": "330-595-4590",
            "fax_number": "216-245-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLING",
        "first_name": "AMANDA",
        "name_prefix": "Miss",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.1400595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "C.1400595-TRNE (COUNSELOR TRAINEE)",
            "identifier": "C.1400595-TRNE",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.