Amanda Hock Sanders

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC007708 Issued in GA

Practice address

3565 Piedmont Rd NE Ste 510
Atlanta, GA 30305-8202

Phone

(972) 632-6046

NPI assigned

Oct 5, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 17, 2024 through Jan 17, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1851998744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2861 ELLIOTT CIR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 PIEDMONT RD NE STE 510",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303058202",
            "telephone_number": "972-632-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "AMANDA",
        "middle_name": "HOCK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC007708",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "7583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda@atlantacounselingcollective.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant email",
            "address_1": "3565 Piedmont Rd NE Ste 510",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303058202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Helise Sheri Sandborn, LCSW
• Namratha Sandella, MD
• Thomara Sanders-Watkins, M.S., CCC-SLP
• Alexandria Sanders
• Aliyah Sanders
• Amy Sanders, PSYD
• Belinda Sanders, LPC
• Brian Penner Sanders, M.D.
• Darin Keith Sanders Jr.
• David D Sanders, CRNA

• Mental Health Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.