Active NPI
Amanda Alayne Mlinarich, LPC
- Professional Counselor
- Dallas, TX
National Provider Identifier
1720207483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 61584
- Practice address
- 3611 Swiss Ave
Dallas, TX 75204-6245 - Phone
- (214) 818-2600
- Fax
- (214) 818-2645
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 61584 | TX | Primary |
Addresses
Primary practice location
3611 Swiss Ave
Dallas, TX 75204-6245
Mailing address
3611 Swiss Ave
Dallas, TX 75204-6245
Phone (214) 818-2627
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61584 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198108800000",
"number": "1720207483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3611 SWISS AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752046245",
"telephone_number": "214-818-2627",
"fax_number": "214-818-2645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3611 SWISS AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752046245",
"telephone_number": "214-818-2600",
"fax_number": "214-818-2645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MLINARICH",
"first_name": "AMANDA",
"middle_name": "ALAYNE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2007-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "61584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
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- Mkyas Transportation LLC
- Antonella Mladenka, CRNA
- MM Kec PLLC
- MMS Equipment of Dallas Central Inc. (Majors Medical Service)
- MMS Equipment of Dallas Central Inc. (Majors Medical Service)
- MMV Associates, PLLC (Vector Health)
- Lai King Jessica Mo NG, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.