Amanda Mandrell, B.A., BHRS, BHCM II

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

11005 N Blackwelder Ave
Oklahoma City, OK 73120-7917

Phone

(405) 740-0200

Fax

(405) 740-0200

NPI assigned

Apr 12, 2013

Last updated

Jun 22, 2016By 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

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1740623495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11005 N BLACKWELDER AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731207917",
            "telephone_number": "405-740-0200",
            "fax_number": "405-740-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11005 N BLACKWELDER AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731207917",
            "telephone_number": "405-740-0200",
            "fax_number": "405-740-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDRELL",
        "first_name": "AMANDA",
        "credential": "B.A., BHRS, BHCM II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200482330A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.