Amanda Hathcock, MA, LPC, NCC
Individual provider Active NPI Counselor · Brookston, IN
NPI 1891248282 · NPPES record last updated Apr 21, 2026
Key facts
- NPI
- 1891248282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 6401225680 (MI)
- Practice address
- PO Box 150
Brookston, IN 47923-0150 - Phone
- (260) 572-8414
- NPI assigned
- Aug 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sailor Health Medical PA
Practice addresses (Care Compare)
2751 E Jefferson Ave
400 Detriot
Detroit, MI 48207-4105
Phone (240) 201-3386
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401225680 | MI | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401225680 | MI | Yes |
Addresses
Primary practice location
PO Box 150
Brookston, IN 47923-0150
Mailing address
PO Box 150
Brookston, IN 47923-0150
Phone (260) 572-8414
Other providers in Brookston, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.