Amanda Kaye Bittner, PHD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2010009075 Issued in MO

Practice address

2001 S Hanley Rd Ste 195
Brentwood, MO 63144-1520

Phone

(618) 973-4863

NPI assigned

Dec 20, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Upaya Counseling, LLC

  • Mental Health Counselor
  • Brentwood, MO
  • NPI 1174107544
  NPD Authorized official

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

{
    "created_epoch": "1261267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1811226947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S HANLEY RD STE 195",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441520",
            "telephone_number": "618-973-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S HANLEY RD STE 195",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441520",
            "telephone_number": "618-973-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITTNER",
        "first_name": "AMANDA",
        "middle_name": "KAYE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-20",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.011193",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2010009075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.upayacounseling.org",
            "affiliation": "N",
            "endpointDescription": "Upaya Counseling homepage",
            "address_1": "2001 S Hanley Rd Ste 195",
            "city": "Brentwood",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631441520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Corneisha Banks, LMT
• Rosemary L Barnes Pratt, LPC
• Lauren Bauer
• Andrea Jenny Beck, OTR/L
• Myah M Beckmann
• Barton Blackorby, MD
• Charlemine Blake, OTR/L
• Kevin J Blinder, MD
• Julie Christine Bokermann, MSPT ATC CSCS
• Prithvi Bomdica, MD

• Professional Counselor in Brentwood, MO
• Providers in Brentwood, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.