Active NPI
Amanda Draughn, LPC
- Professional Counselor
- Mount Airy, NC
National Provider Identifier
1679889083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7934
- Practice address
- 319 S Main St Ste 304
Mount Airy, NC 27030-4715 - Phone
- (336) 756-7424
- NPI assigned
- Aug 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7934 | NC | Primary |
Addresses
Primary practice location
319 S Main St Ste 304
Mount Airy, NC 27030-4715
Mailing address
250 Gilmer Miller Rd
Lowgap, NC 27024-7323
Phone (336) 710-6142
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7934 | NC | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586131200000",
"number": "1679889083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 GILMER MILLER RD",
"city": "LOWGAP",
"state": "NC",
"postal_code": "270247323",
"telephone_number": "336-710-6142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 S MAIN ST STE 304",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270304715",
"telephone_number": "336-756-7424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAUGHN",
"first_name": "AMANDA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-23",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "7934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.