Individual provider Active NPI

Amanda De'Nee Green-Harrington, LCMHC

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1790120095
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9277 Issued in NC
Practice address
907 Hay St Ste 201
Fayetteville, NC 28305-5352
Phone
(910) 483-5986
Fax
(910) 483-2876
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A9277 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-20070 NC
Mental Health Counselor 101YM0800X 9277 NC Primary

Addresses

Primary practice location

907 Hay St Ste 201
Fayetteville, NC 28305-5352

Mailing address

951 Ronald Reagan Dr
Fayetteville, NC 28311-1651
Phone (910) 670-3670

Other practice location 1

96 Castle Bay Dr
Sanford, NC 27332-6269
Phone (910) 670-3670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260305004005 NC Practitioner - Mental Health Counselor 8628550803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

350 Pee Dee Ave
Suite 101
Albemarle, NC 28001-4932

350 Pee Dee Ave
Suite 101
Albemarle, NC 28001-4945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-20070NCMDAddiction (Substance Use Disorder) Counselor
A9277NCMDProfessional Counselor
9277NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Transformation Counseling and Recovery PLLC Mental Health CurrentSince Nov 20, 2022 Accepting new patients
Better Beginnings Healthcare Solutions, CurrentSince Nov 20, 2022 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Monarch CurrentSince Feb 1, 2026 Accepting new patients
Monarch CurrentSince Feb 1, 2026 Accepting new patients

Locations

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

907 Hay St
Ste 201
Fayetteville, NC 28305
Phone (910) 483-5986

Interoperability endpoints

  • Direct secure messaging: amandagreenharrington@tdh.allscriptsdirect.net

Organizations & group practices 6

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1790120095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 RONALD REAGAN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111651",
            "telephone_number": "910-670-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 HAY ST STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055352",
            "telephone_number": "910-483-5986",
            "fax_number": "910-483-2876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "96 Castle Bay Dr",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273326269",
            "country_code": "US",
            "telephone_number": "910-670-3670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN-HARRINGTON",
        "first_name": "AMANDA",
        "middle_name": "DE'NEE",
        "name_prefix": "Mrs.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A9277",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-20070",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.