Amanda Bunkholt, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024170133 Issued in VA

Practice address

9201 Arboretum Pkwy Ste 300
North Chesterfield, VA 23236-5407

Phone

(804) 520-4600

Fax

(833) 525-0063

NPI assigned

Aug 2, 2012

Last updated

Apr 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Revive Behavioral Health

  • Behavioral Neurology & Neuropsychiatry Physician
  • Petersburg, VA
  • NPI 1942055504
  Medicare reassignment NPD (past)
• Options Counseling Services of Oregon

  dba Options Counseling and Family Services

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1548275217
  NPD
• Monarch Mental Health and Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, VA
  • NPI 1114687902
  NPD (past)
• Inner Room Somatic Therapy, LLC

  • Professional Counselor
  • Eugene, OR
  • NPI 1073241030
  NPD (past)

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1740536184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 ARBORETUM PKWY STE 300",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232365407",
            "telephone_number": "804-405-2992",
            "fax_number": "833-525-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 ARBORETUM PKWY STE 300",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232365407",
            "telephone_number": "804-520-4600",
            "fax_number": "833-525-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNKHOLT",
        "first_name": "AMANDA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024170133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buford Road Pharmacy Inc (Buford Road Pharmacy)
• Buford Road Pharmacy Inc (Buford Road Pharmacy)
• Build and Blossom Behavioral Health LLC
• Building Opportunities
• Bunique Counseling Services, LLC
• Samantha Kelly Burch, M.ED, CCC-SLP
• Brian Oscar Burke, DMD, MSD
• Frenchie Michelle Burks
• Alyssa Whitney Burlew, DPT
• Mary Elizabeth Burns, NP

• Psychiatric/Mental Health Nurse Practitioner in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.