Individual provider Active NPI

Amanda Kinney Estill, LPC

  • Mental Health Counselor
  • Greenville, MI
National Provider Identifier
1710327713
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
119 W Cass St Unit 91
Greenville, MI 48838-5003
Phone
(989) 506-4457
Fax
(616) 619-6007
NPI assigned
Jul 5, 2013
Last updated
Oct 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

119 W Cass St Unit 91
Greenville, MI 48838-5003

Mailing address

119 W Cass St Unit 91
Greenville, MI 48838-5003
Phone (989) 506-4457

Other practice location 1

507 S Nelson St
Greenville, MI 48838-2197
Phone (989) 506-4457

Other practice location 2

7401 White Ridge Dr
Greenville, MI 48838-8254
Phone (989) 506-4457

Other practice location 3

7088 Green Timber Ct
Greenville, MI 48838-8193
Phone (989) 506-4457

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Estill LLC Mental Health CurrentSince Apr 1, 2020 Accepting new patients

Locations

119 W Cass St
Unit 91
Greenville, MI 48838
Phone (616) 202-5113

8830 Belding Rd NE
Ste A
Rockford, MI 49341
Phone (616) 325-0367

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": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1710327713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W CASS ST UNIT 91",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488385003",
            "telephone_number": "989-506-4457",
            "fax_number": "616-619-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W CASS ST UNIT 91",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488385003",
            "telephone_number": "989-506-4457",
            "fax_number": "616-619-6007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 S Nelson St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "MI",
            "postal_code": "488382197",
            "country_code": "US",
            "telephone_number": "989-506-4457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7401 White Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "MI",
            "postal_code": "488388254",
            "country_code": "US",
            "telephone_number": "989-506-4457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7088 Green Timber Ct",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "MI",
            "postal_code": "488388193",
            "country_code": "US",
            "telephone_number": "989-506-4457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTILL",
        "first_name": "AMANDA",
        "middle_name": "KINNEY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-05",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.