Amanda Michelle Underwood, LMFT, MS-MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF61111722 Issued in WA

Practice address

320 E Broad St FL 2
Cookeville, TN 38501-3382

Phone

(931) 219-9320

NPI assigned

Dec 4, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Underwood Therapy PLLC

  • Marriage & Family Therapist
  • Cookeville, TN
  • NPI 1497321053
  Medicare reassignment Authorized official
• Northshore Youth and Family Services

  • Community/Behavioral Health Agency
  • Bothell, WA
  • NPI 1952609133
  NPD (past)

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1821463670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E BROAD ST FL 2",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013382",
            "telephone_number": "931-219-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E BROAD ST FL 2",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013382",
            "telephone_number": "931-219-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LMFT, MS-MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-04",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "1865",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF61111722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Telisha Turner
• Eric E Tywon, PTA
• David Isonguyo Udom, M.D.
• Monica Ulloa
• Underwood Therapy PLLC
• Brantley Michael Underwood, PHARMD, CSP, BCACP
• Univita of Tennessee, Inc.
• Kameswara Satya Srikanth Upadhyayula, DMD
• Upper Cumberland Anesthesia Associates, PC
• Upper Cumberland Community Services Agency

• Marriage & Family Therapist in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Marriage & Family Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.