Amanda Beth Griffin, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2004024707 Issued in MO

Practice address

2030 Runningridge CT
Maryland Heights, MO 63043-2058

Phone

(636) 399-5853

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821208604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 RUNNINGRIDGE CT",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432058",
            "telephone_number": "636-399-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 RUNNINGRIDGE CT",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432058",
            "telephone_number": "636-399-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "AMANDA",
        "middle_name": "BETH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2004024707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanne Marie Gould, PA-C
• Erin Kathleen Gould, M.S.E., LPC
• Mitzie E Graeler, RN, CPNP
• Mitch Graumenz, PHARM. D
• Great Strides Behavioral Consulting, Inc.
• Paul F Grim III, MD
• Gary Marvin Guebert, D.C.
• Colleen O'Keefe Gund, MSPTPCS
• David Hadden
• Darren Paul Hallums, DDS

• Counselor in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.