Active NPI
Amanda Harvard
- Mental Health Counselor
- Davenport, IA
National Provider Identifier
1912878273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 150.111797
- Practice address
- 2515 W Central Park Ave
Davenport, IA 52804-2502 - Phone
- (563) 349-9595
- NPI assigned
- Sep 17, 2025
- Last updated
- Oct 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 150.111797 | IL | Primary |
Addresses
Primary practice location
2515 W Central Park Ave
Davenport, IA 52804-2502
Mailing address
2542 6TH Street CT
East Moline, IL 61244-2707
Phone (563) 349-9595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.111797 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butterfly Beginnings Counseling LLC | Single Specialty | Current | Accepting new patients |
Locations
2515 W Central Park Ave
Davenport, IA 52804
Phone (563) 349-9595
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.
-
- Clinical Social Worker
- Davenport, IA
- NPI 1477100949
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1912878273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2542 6TH STREET CT",
"city": "EAST MOLINE",
"state": "IL",
"postal_code": "612442707",
"telephone_number": "563-349-9595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 W CENTRAL PARK AVE",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528042502",
"telephone_number": "563-349-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARVARD",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-17",
"last_updated": "2025-10-24",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "150.111797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.