Individual provider Active NPI

Amanda Peterson, LCPC

  • Mental Health Counselor
  • Owings, MD
National Provider Identifier
1770155582
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC16128 Issued in MD
Practice address
2021 Chaneyville Rd Ste 100
Owings, MD 20736-4348
Phone
(410) 610-0046
NPI assigned
Jul 12, 2021
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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 LC16128 MD Primary

Addresses

Primary practice location

2021 Chaneyville Rd Ste 100
Owings, MD 20736-4348

Mailing address

9750 Tara Dr
Dunkirk, MD 20754-3004

Other practice location 1

10339 Southern Maryland Blvd Ste 211
Dunkirk, MD 20754-3018
Phone (410) 610-0046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC16128MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Miller Therapeutic Services LLC CurrentSince Nov 1, 2023 Accepting new patients
Hope in Motion Counseling, LLC Mental Health PastSince Jul 20, 2021 Accepting new patients

Locations

10339 Southern Maryland Blvd
Ste 209
Dunkirk, MD 20754
Phone (301) 327-5417

10339 Southern Maryland Blvd
Ste 211
Dunkirk, MD 20754
Phone (301) 327-5417

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, 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": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1770155582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 TARA DR",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207543004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 CHANEYVILLE RD STE 100",
            "city": "OWINGS",
            "state": "MD",
            "postal_code": "207364348",
            "telephone_number": "410-610-0046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10339 Southern Maryland Blvd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Dunkirk",
            "state": "MD",
            "postal_code": "207543018",
            "country_code": "US",
            "telephone_number": "410-610-0046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "AMANDA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC16128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.