Individual provider Active NPI

Amanda Sue Neugebauer, LPCC

  • Mental Health Counselor
  • Lexington, KY
National Provider Identifier
1760010821
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
260842 Issued in KY
Practice address
3050 Rio Dosa Dr
Lexington, KY 40509-1540
Phone
(859) 269-2325
NPI assigned
Apr 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 260842 KY Primary

Addresses

Primary practice location

3050 Rio Dosa Dr
Lexington, KY 40509-1540

Mailing address

3050 Rio Dosa Dr
Lexington, KY 40509-1540
Phone (859) 269-2325

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://ridgebhs.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240909002504 KY Practitioner - Mental Health Counselor 4385184068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Kentucky Services, LLCGroup PAC ID 1254716780, 9 clinicians

Practice addresses (Care Compare)

3150 Custer Dr
Suite 203
Lexington, KY 40517-4010
Phone (502) 219-3488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Services, LLC CurrentSince Jul 16, 2024 Accepting new patients
Kentucky Services, LLC CurrentSince Jul 16, 2024 Accepting new patients

Locations

1000 E Lexington Ave
Ste 25
Danville, KY 40422
Phone (859) 236-7756

3270 Blazer Pkwy
Ste 102
Lexington, KY 40509
Phone (859) 785-1030

3150 Custer Dr
Ste 202
Lexington, KY 40517
Phone (502) 219-3488

3150 Custer Dr
Ste 203
Lexington, KY 40517
Phone (502) 219-3488

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1760010821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 RIO DOSA DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091540",
            "telephone_number": "859-269-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 RIO DOSA DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091540",
            "telephone_number": "859-269-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUGEBAUER",
        "first_name": "AMANDA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "260842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://ridgebhs.com/",
            "affiliation": "N",
            "address_1": "3050 Rio Dosa Dr",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405091540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.