Amanda Reynolds

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

008256 Issued in IA

Practice address

2255 JFK Rd
Dubuque, IA 52002-2846

Phone

(563) 564-7746

NPI assigned

Jun 18, 2013

Sex

Female

Sole proprietor

No

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 IA

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

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Amanda Reynolds Counseling, LLC

  • Clinical Social Worker
  • Dubuque, IA
  • NPI 1285152645
  Medicare reassignment NPD Authorized official
• The Finley Hospital

  • Emergency Medicine Physician
  • Dubuque, IA
  • NPI 1134176308
  NPD (past)

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1700225232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 LOCUST ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016705",
            "telephone_number": "563-564-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 JFK RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022846",
            "telephone_number": "563-564-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "008256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Renne
• Resilient Mind Psychology, LLC
• Restoring Health and Wellness, PLLC
• Tanner Reuter, PA-C
• Donald Harvey Reyerson, M.D.
• Richard LC Corfman
• John William Richardson, M.D.
• Randie Richmond
• Ricketts Clinic of Chiropractic, Inc.
• Robert Karl Ricketts, DC

• Mental Health Counselor in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.