Amanda Marie Van Epps, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

18196 Issued in NC

Practice address

120 Harvest Blvd
Havelock, NC 28532-0487

Phone

(928) 323-2095

NPI assigned

Jan 10, 2023

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

Medicare fee-for-service enrollment

Enrolled in AZ, NC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.fife.p1@direct.cpi.nextgenshare.com

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.

• Community Partners Integrated Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1669897385
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  NC

  Medicare reassignment NPD
• Community Partners Integrated Healthcare Inc.

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1558020503
  NPD
• Community Partners Integrated Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Sierra Vista, AZ
  • NPI 1376065342
  NPD
• Community Partners Integrated Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Yuma, AZ
  • NPI 1457459091
  NPD
• Community Partners Integrated Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Sierra Vista, AZ
  • NPI 1659674984
  NPD (past)
• Community Partners Integrated Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Benson, AZ
  • NPI 1821390360
  NPD (past)

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1831803394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HARVEST BLVD",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285320487",
            "telephone_number": "928-323-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HARVEST BLVD",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285320487",
            "telephone_number": "928-323-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN EPPS",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "18196",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "22544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Thomesen, MD
• Carolyn Welch Thompson, PTA
• Tara-Dawm R Tootle, PHARMD
• Daniel R Tuckey, M.D.
• United Home Care Inc
• Visions Community Outreachg
• Erica C Vizueth
• Rafalia Vogiatzis, RD
• Julia Eva Von Heeringen, PSYD
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3825)

• Mental Health Counselor in Havelock, NC
• Providers in Havelock, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.