Amanda Michelle Tindell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

104693 Issued in TX

Practice address

1103 W. Stan Schlueter LP
Building a Suite 100
Killeen, TX 76549

Phone

(254) 213-7847

NPI assigned

Jun 5, 2023

Last updated

Feb 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amanda Michelle Tindell Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Beyond the Gray Sky LLC

  dba Pursuit of Happiness

  • Community/Behavioral Health Agency
  • Arlington, TX
  • NPI 1780976076
  Medicare reassignment NPD
• Family Endeavors, Inc

  dba Endeavors

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • El Paso, TX
  • NPI 1538745484
  NPD (past)
• Family Endeavors, Inc

  dba Endeavors

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Killeen, TX
  • NPI 1922507417
  NPD (past)

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1912691775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 E AVENUE M",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765134000",
            "telephone_number": "254-654-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 W. STAN SCHLUETER LP",
            "address_2": "BUILDING A SUITE 100",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "76549",
            "telephone_number": "254-213-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINDELL",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "104693",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "104693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "TINDELL",
            "middle_name": "MICHELLE",
            "credential": "AMANDA HICKMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyla Chiann Tillman
• Lillian Jessica Tillotson
• La'Porsha Dejone' Timmons
• Melissa Timmons, PMHNP BC
• Timothy J Daheim PA
• Emma Tindell
• Kristin Leigh Tindell, BCBA
• Donald R Tolbert, CRNA
• Monica Leticia Tolbert, MC, MBH, LPC
• Baileyann Toliver, AUD

• Clinical Social Worker in Killeen, TX
• Providers in Killeen, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.