Individual provider Active NPI

Amanda Lynn Golden de Duke, LPC

  • Professional Counselor
  • Corpus Christi, TX
National Provider Identifier
1750692083
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
91221 Issued in TX
Practice address
4646 Corona Dr Ste 216
Corpus Christi, TX 78411-4386
Phone
(361) 547-5541
NPI assigned
Jul 1, 2010
Last updated
Nov 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 91221 TX Primary

Addresses

Primary practice location

4646 Corona Dr Ste 216
Corpus Christi, TX 78411-4386

Mailing address

4646 Corona Dr Ste 216
Corpus Christi, TX 78411-4386
Phone (361) 547-5541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250106002099 TX Practitioner - Mental Health Counselor 7517495419 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
91221TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Distinctive Counseling and Consulting PLLC CurrentSince Nov 30, 2024 Accepting new patients

Locations

11269 Leopard St
Corpus Christi, TX 78410
Phone (361) 547-5541

4646 Corona Dr
Ste 216
Corpus Christi, TX 78411
Phone (361) 547-5541

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1750692083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 CORONA DR STE 216",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114386",
            "telephone_number": "361-547-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 CORONA DR STE 216",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114386",
            "telephone_number": "361-547-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN DE DUKE",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "91221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.