Amanda Robles, MA, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC11979 Issued in MD

Practice address

2110 Priest Bridge Dr Ste 1
Crofton, MD 21114-2472

Phone

(443) 937-7089

NPI assigned

Nov 6, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Sol & Luna Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Edgewater, MD
  • NPI 1740062488
  NPD Authorized official
• Mirror Mental Health

  • Counseling Psychologist
  • Crofton, MD
  • NPI 1093289985
  NPD

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1780228429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 PRIEST BRIDGE DR STE 1",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142472",
            "telephone_number": "443-937-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 PRIEST BRIDGE DR STE 1",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142472",
            "telephone_number": "443-937-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "AMANDA",
        "credential": "MA, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC11979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda@mirrormentalhealth.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Mirror Mental Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2110 Priest Bridge Dr Ste 1",
            "city": "Crofton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211142472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Inaya Rivera
• Jane Priscilla Roach, CRNP
• Dara Georgeann Robinette, M.S. CCC-SLP
• Mary Lee Robinson
• Samantha Robinson
• Rock Kids Dental LLC (Rock Kids Dental)
• Clare Marie Rodgers, CRNP
• Glynnis Rodgers
• Salena Rosa, COSMETOLOGIST
• Nancy Theresa Rose, R.N.

• Professional Counselor in Crofton, MD
• Providers in Crofton, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.