Amanda Joann Daub, MA,LPC, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

202285 Issued in TX

Practice address

4422 Pack Saddle Pass Ste 203
Austin, TX 78745-1644

Phone

(512) 309-0339

NPI assigned

Oct 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Amanda Joann Burk Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Austin Therapy Connection, PLLC

  • Community/Behavioral Health Agency
  • Austin, TX
  • NPI 1922660091
  NPD (past) Authorized official

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1679025399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 PACK SADDLE PASS STE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451644",
            "telephone_number": "512-309-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 PACK SADDLE PASS STE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451644",
            "telephone_number": "512-309-0339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1704 1/2 S Congress Ave Ste L",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787043557",
            "country_code": "US",
            "telephone_number": "512-309-0339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAUB",
        "first_name": "AMANDA",
        "middle_name": "JOANN",
        "name_prefix": "Mrs.",
        "credential": "MA,LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "72818",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BURK",
            "middle_name": "JOANN",
            "prefix": "MISS",
            "credential": "MA, LPC, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vida R. Dash, PH.D., LPC, NCC
• Nancy A Dasso, FNP
• George Ihor Daszko, DDS
• Data 2 Information Corp. (West Lake Hearing & Balance)
• Swati D Date, MD
• Brianne Daubenspeck, LCSW
• Alivia Daugherty, PHARMD
• Ashlei Daugherty, NEUROMODULATION TECH
• Kara M Daugherty, PT
• Patricia E. Daugherty, RN

• Marriage & Family Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.