Amanda Marie Jaramillo Ayon, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

086196 Issued in IA

Practice address

803 3Rd Ave
Council Bluffs, IA 51501-4101

Phone

(712) 352-0917

NPI assigned

Sep 26, 2018

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

Other identifiers 1

Other names 1

• Amanda Boswell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Full Circle Therapy Center, LLC

  • Mental Health Counselor
  • Council Bluffs, IA
  • NPI 1710270087

  Clinical

  NPD (past)

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1851876833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 1ST AVE S APT 212",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500092461",
            "telephone_number": "712-621-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 3RD AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515014101",
            "telephone_number": "712-352-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARAMILLO AYON",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "086196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1210140",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BOSWELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Belinda James
• Doreen Diann James, MA, CCC-SLP
• Elizabeth Ellen James, MSN, RN
• Latasha Naomi James, LPN
• Bailey Janssen
• Jennie Edmundson Memorial Hospital (Methodist Jennie Edmundson)
• Jennie Edmundson Memorial Hospital
• Jennie Edmundson Memorial Hospital (JE Professional Services)
• Jill N Jensen, PA-C
• Scott Jensen, PT

• Clinical Social Worker in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.