Amanda Emmons, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LGP13223 Issued in MD

Practice address

5024 Campbell Blvd Ste a
Nottingham, MD 21236-5974

Phone

(410) 686-3629

NPI assigned

Oct 20, 2022

Last updated

Mar 31, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advantage Psychiatric Services LLCGroup PAC ID 2860732039, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advantage Psychiatric Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elkton, MD
  • NPI 1548742554
  Medicare reassignment Care Compare group NPD
• Advantage Psychiatric Services LLC

  • Clinic/Center
  • Havre de Grace, MD
  • NPI 1700515236
  NPD
• Advantage Psychiatric Services LLC

  • Community/Behavioral Health Agency
  • Nottingham, MD
  • NPI 1518573427
  NPD (past)
• Advantage Psychiatric Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Annapolis, MD
  • NPI 1538732086
  NPD (past)
• Advantage Psychiatric Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Prince Frederick, MD
  • NPI 1740874296
  NPD (past)

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1902523012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 CAMPBELL BLVD STE A",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212365974",
            "telephone_number": "410-686-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 CAMPBELL BLVD STE A",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212365974",
            "telephone_number": "410-686-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMONS",
        "first_name": "AMANDA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP13223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Empowerpath Support Services
• Gary Douglas Engle, LCPC
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• Entro, LLC

• Professional Counselor in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.

Verify at the official NPI Registry.