Active NPI
Amanda Peterson, LCPC
- Mental Health Counselor
- Owings, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC16128
- Practice address
- 2021 Chaneyville Rd Ste 100
Owings, MD 20736-4348 - Phone
- (410) 610-0046
- NPI assigned
- Jul 12, 2021
- Last updated
- Jul 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LC16128 | MD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miller Therapeutic Services LLC | Current | Accepting new patients | |
| Hope in Motion Counseling, LLC | Mental Health | Past | 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.
-
- Mental Health Counselor
- Owings, MD
- NPI 1083536742
-
dba Anchored Roots Mental Health
- Clinical Social Worker
- Dunkirk, MD
- NPI 1750059283
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
- Rebekah Joy Nevenglosky, M.S. SLP-CCC
- Bonnie Newlin, M.S.,Rd, M.S., RD
- Zachary Ryan Nottingham, FNP-C
- Joyce Lynn Owens, MD
- Geraldine Franco Pavel, L.C.P.C.,M.A.
- Deborah Kay Plumley, LMSW
- Michelle Janese Pottinger, OTR/L
- Precision Orthopedics and Sports Medicine (Precision Orthopedics and Sports Medicine - Owings)
- Jeannette M Reinecker, LCSWC
- Jasmine Meryln Russell-Peter
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.