Amanda Dooley, LPC-MHSP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3612 Issued in TN

Practice address

567 Cason LN Ste a
Murfreesboro, TN 37128-4871

Phone

(615) 900-7255

NPI assigned

Jul 21, 2014

Last updated

Apr 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1710394820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13515 VERSAILLES RD",
            "city": "ROCKVALE",
            "state": "TN",
            "postal_code": "371534681",
            "telephone_number": "615-485-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 CASON LN STE A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371284871",
            "telephone_number": "615-900-7255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1113 Murfreesboro Rd",
            "address_2": "Suite 319",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370641306",
            "country_code": "US",
            "telephone_number": "615-790-0567",
            "fax_number": "615-595-8030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "3612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q026337",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.