Active NPI
Amanda Kay Ezell, LPC, NCC, BC-TMH
- Counselor
- Daleville, AL
National Provider Identifier
1851867931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2744
- Practice address
- 175 N Daleville Ave Ste a
Daleville, AL 36322-2019 - Phone
- (334) 867-2655
- Fax
- (334) 600-4933
- NPI assigned
- Oct 16, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2744 | AL | Primary |
Addresses
Primary practice location
175 N Daleville Ave Ste a
Daleville, AL 36322-2019
Mailing address
175 N Daleville Ave Ste a
Daleville, AL 36322-2019
Phone (334) 867-2655
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2744 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prism Counseling Services, LLC | Current | Accepting new patients |
Locations
175 N Daleville Ave
Ste A
Daleville, AL 36322
Phone (334) 475-3729
26438 Highway 134
#B
Enterprise, AL 36330
Phone (334) 475-3729
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Daleville, AL
- NPI 1780354746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1851867931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 N DALEVILLE AVE STE A",
"city": "DALEVILLE",
"state": "AL",
"postal_code": "363222019",
"telephone_number": "334-867-2655",
"fax_number": "334-600-4933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 N DALEVILLE AVE STE A",
"city": "DALEVILLE",
"state": "AL",
"postal_code": "363222019",
"telephone_number": "334-867-2655",
"fax_number": "334-600-4933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZELL",
"first_name": "AMANDA",
"middle_name": "KAY",
"credential": "LPC, NCC, BC-TMH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-16",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "2744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daleville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.