Amanda Estill LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

AMANDA ESTILL LLC

Doing business as

Amanda Estill
Thrive Wellness Collaborative

Practice address

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

Phone

(989) 506-4457

Fax

(616) 619-6007

NPI assigned

Mar 27, 2020

Last updated

Dec 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Estill, LPCNPI 1710327713

Title

Owner/Therapist

Phone

(989) 506-4457

Specialties & licenses 1

Addresses

Other names 2

• Amanda Estill Doing business as
• Thrive Wellness Collaborative Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Renee Rose Augustyn, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1033870035
  Medicare reassignment NPD
• Crystal Meeusen, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1376928515
  Medicare reassignment NPD
• Nicole Alyse Vega, LMSW

  • Clinical Social Worker
  • Greenville, MI
  • NPI 1366971624
  Medicare reassignment NPD
• Amanda Kinney Estill, LPC

  • Mental Health Counselor
  • Greenville, MI
  • NPI 1710327713
  NPD Authorized official
• Alison Dault, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1770113474
  NPD
• Melanie J Fuentes, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1609440338
  NPD (past)

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1720616766",
    "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": "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": {
        "organization_name": "AMANDA ESTILL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "ESTILL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "989-506-4457",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amanda Estill",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thrive Wellness Collaborative",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ac Orthopedic Supply
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• Jusith A Amparo, DO
• Katherine Anderson
• Megan Andrakowicz

• Mental Health Counselor in Greenville, MI
• Providers in Greenville, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.