Amy Viscomi Buchanan, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

NC-A18505 Issued in NC

Practice address

7480 Waterside Loop Rd
Denver, NC 28037-7929

Phone

(704) 483-3783

NPI assigned

Jan 31, 2023

Last updated

Jan 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Miracles Healing Centers IncGroup PAC ID 8729273594, 8 clinicians

Practice addresses (Care Compare)

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.

• Miracles Healing Centers Inc

  • Mental Health Counselor
  • Mooresville, NC
  • NPI 1962597732
  Medicare reassignment Care Compare group NPD
• Wellcomemd NC Clinic PLLC

  • Internal Medicine Physician
  • Mooresville, NC
  • NPI 1013525278
  NPD (past)

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1679289896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 CORDIA CIR",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286587809",
            "telephone_number": "828-446-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 WATERSIDE LOOP RD",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377929",
            "telephone_number": "704-483-3783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Kilson Dr",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281178217",
            "country_code": "US",
            "telephone_number": "704-664-1009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "AMY",
        "middle_name": "VISCOMI",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "NC-A18505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Brooks, DDS
• Ryan Scott Brooks, M.D.
• Shannon Kelly Brooks, COTA/L
• Lindsey Marie Brown, LCMHCA
• Bryan T. Persinger DDS PA II (Waterside Dental Care)
• Marlisa Bullock-Durham, NP
• Kara Elizabeth Bumgardner, LCMHC
• Laura Howard Burgess, FNP
• Jennifer Louise Bushey Colyer, MD
• Katelynn Marie Canipe, LCMHCA, NCC

• Mental Health Counselor in Denver, NC
• Providers in Denver, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.