Individual provider Active NPI

Amanda K Parnell, LCAS-A

  • Addiction (Substance Use Disorder) Counselor
  • Burlington, NC
National Provider Identifier
1700412624
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
23451 Issued in NC
Practice address
260 W Davis St Ste D
Burlington, NC 27215-3707
Phone
(336) 343-9350
NPI assigned
Mar 23, 2020
Last updated
Mar 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 23451 NC Primary

Addresses

Primary practice location

260 W Davis St Ste D
Burlington, NC 27215-3707

Mailing address

1515 Shadylawn Dr
Burlington, NC 27215-2019
Phone (336) 343-9350

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Burlington Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240321002287 NC Practitioner - Mental Health Counselor 3173960523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Care Solutions IncGroup PAC ID 5294076329, 3 clinicians

Practice addresses (Care Compare)

3824 Barrett Dr
Suite 105
Raleigh, NC 27609-7220
Phone (919) 758-8149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Care Solutions Inc CurrentSince Mar 20, 2024 Accepting new patients

Locations

3013 S Church St
Burlington, NC 27215
Phone (336) 447-7235

3824 Barrett Dr
Ste 105
Raleigh, NC 27609
Phone (919) 787-7423

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1700412624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SHADYLAWN DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272152019",
            "telephone_number": "336-343-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W DAVIS ST STE D",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272153707",
            "telephone_number": "336-343-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARNELL",
        "first_name": "AMANDA",
        "middle_name": "K",
        "credential": "LCAS-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "23451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Burlington",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "260 W Davis St Ste D",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272153707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.