Active NPI
Amanda Marie Root, MS
- Professional Counselor
- Wichita, KS
National Provider Identifier
1871822965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2339
- Practice address
- 2420 N Woodlawn Blvd Ste 300
Wichita, KS 67220-3960 - Phone
- (316) 347-7157
- NPI assigned
- Dec 18, 2009
- Last updated
- Dec 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | #PPC-501 | WY | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 997 | KS | |
| Professional Counselor | 101YP2500X | 2339 | KS | Primary |
Addresses
Primary practice location
2420 N Woodlawn Blvd Ste 300
Wichita, KS 67220-3960
Mailing address
2420 N Woodlawn Blvd Ste 300
Wichita, KS 67220-3960
Phone (316) 347-7157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2420 N Woodlawn Blvd
BLDG 300
Wichita, KS 67220-3960
Phone (316) 347-7157
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #PPC-501 | WY | MD | Counselor |
| 997 | KS | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Air Capital Counseling & Assessment, LLC | Professional | Current | Accepting new patients |
Locations
2420 N Woodlawn Blvd
Ste 300
Wichita, KS 67220
Phone (316) 347-7157
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1871822965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2420 N WOODLAWN BLVD STE 300",
"city": "WICHITA",
"state": "KS",
"postal_code": "672203960",
"telephone_number": "316-347-7157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 N WOODLAWN BLVD STE 300",
"city": "WICHITA",
"state": "KS",
"postal_code": "672203960",
"telephone_number": "316-347-7157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOT",
"first_name": "AMANDA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-18",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WY",
"license": "#PPC-501",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "997",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "2339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.