Amanda Overson

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LCSW 15186 Issued in AZ

Legal business name

AMANDA OVERSON

Practice address

4030 E Wagon Cir
Gilbert, AZ 85297-8394

Phone

(480) 202-7753

NPI assigned

Aug 6, 2015

Last updated

Aug 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda J Overson, LCSWNPI 1447628656

Title

Counselor

Phone

(480) 202-7962

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Overson, LCSW

  • Counselor
  • Gilbert, AZ
  • NPI 1447628656
  NPD (past) Authorized official

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1689050155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 E WAGON CIR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978394",
            "telephone_number": "480-202-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 E WAGON CIR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978394",
            "telephone_number": "480-202-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA OVERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "OVERSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "480-202-7962",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LCSW 15186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bethsabe M Amador, MA, LMFT
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• Kelly Amaturo, PTA
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• Herby Ambroise, MD

• Counselor in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.