Active NPI
Amanda Colleen Davidson, MA
- Community/Behavioral Health Agency
- Lone Tree, CO
National Provider Identifier
1801257258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- NLC.0013300
- Practice address
- 9860 Rosemont Ave Apt 4-208
Lone Tree, CO 80124-3170 - Phone
- (303) 887-0831
- NPI assigned
- Mar 13, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0013352 | CO | |
| Community/Behavioral Health Agency | 251S00000X | NLC.0013300 | CO | Primary |
Addresses
Primary practice location
9860 Rosemont Ave Apt 4-208
Lone Tree, CO 80124-3170
Mailing address
33330 Lonestar Rd
Osawatomie, KS 66064-4180
Phone (303) 887-0831
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0013352 | CO | MD | Professional Counselor |
| NLC.0013300 | CO | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1801257258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33330 LONESTAR RD",
"city": "OSAWATOMIE",
"state": "KS",
"postal_code": "660644180",
"telephone_number": "303-887-0831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9860 ROSEMONT AVE APT 4-208",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801243170",
"telephone_number": "303-887-0831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "AMANDA",
"middle_name": "COLLEEN",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-13",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0013352",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CO",
"license": "NLC.0013300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lone Tree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.