Individual provider Active NPI

James a Amandus, LMHC-A

  • Mental Health Counselor
  • Bellevue, WA
National Provider Identifier
1871943985
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60663242 Issued in WA
Practice address
1160 140TH Ave NE
Suite F
Bellevue, WA 98005-2978
Phone
(425) 454-0616
Fax
(425) 637-1289
NPI assigned
Jun 20, 2016
Last updated
Jun 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC60663242 WA Primary

Addresses

Primary practice location

1160 140TH Ave NE
Suite F
Bellevue, WA 98005-2978

Mailing address

2715 Cedar Ave S
Renton, WA 98055-5078
Phone (206) 293-7323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 10, 2025 through Feb 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MC60663242WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bellevue Community Services Past Accepting new patients

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1871943985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 CEDAR AVE S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555078",
            "telephone_number": "206-293-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 140TH AVE NE",
            "address_2": "SUITE F",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052978",
            "telephone_number": "425-454-0616",
            "fax_number": "425-637-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMANDUS",
        "first_name": "JAMES A",
        "name_prefix": "Dr.",
        "credential": "LMHC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60663242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.