Individual provider Active NPI

Amanda Horak, LPC

  • Professional Counselor
  • Centennial, CO
National Provider Identifier
1871835801
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0012601 Issued in CO
Practice address
6551 S Revere Pkwy Ste 160
Centennial, CO 80111-6469
Phone
(720) 735-7444
NPI assigned
Mar 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0012601 CO Primary

Addresses

Primary practice location

6551 S Revere Pkwy Ste 160
Centennial, CO 80111-6469

Mailing address

6551 S Revere Pkwy Ste 160
Centennial, CO 80111-6469
Phone (720) 735-7444

Other practice location 1

6551 S Revere Pkwy Ste 255
Centennial, CO 80111-6471
Phone (720) 335-5572

Other names 1

  • Amanda Woodard Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240405000292 CO Practitioner - Mental Health Counselor 1355789637 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0012601COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Original Path Counseling, LLC Professional CurrentSince Feb 29, 2024 Accepting new patients

Locations

6551 S Revere Pkwy
Ste 160
Centennial, CO 80111
Phone (720) 735-7444

6551 S Revere Pkwy
Ste 255
Centennial, CO 80111
Phone (720) 335-5572

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": "1363392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1871835801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 S REVERE PKWY STE 160",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116469",
            "telephone_number": "720-735-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 S REVERE PKWY STE 160",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116469",
            "telephone_number": "720-735-7444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6551 S Revere Pkwy Ste 255",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801116471",
            "country_code": "US",
            "telephone_number": "720-335-5572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORAK",
        "first_name": "AMANDA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-16",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0012601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WOODARD",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.