Individual provider Active NPI

Amanda Kay Lamberti, MA, LCPC, NCC

  • Professional Counselor
  • Dallas, GA
National Provider Identifier
1922334465
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-LCPC-LIC-42501 Issued in MT
Practice address
954 Brooks Rackley Rd
Dallas, GA 30157-9241
Phone
(678) 923-4578
Fax
(406) 259-4638
NPI assigned
Oct 18, 2009
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X BBH-LCPC-LIC-42501 MT Primary

Addresses

Primary practice location

954 Brooks Rackley Rd
Dallas, GA 30157-9241

Mailing address

954 Brooks Rackley Rd
Dallas, GA 30157-9241
Phone (678) 923-4578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20240801001625 GA Practitioner - Mental Health Counselor 9830636398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Georgia LLCGroup PAC ID 4183079577, 14 clinicians

Practice addresses (Care Compare)

1780 Old 41 Hwy NW
Kennesaw, GA 30152-4428
Phone (770) 427-7256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
BBH-LCPC-LIC-42501MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Georgia LLC CurrentSince Jul 1, 2024 Accepting new patients
Montana Rescue Mission Professional PastSince May 1, 2020 Accepting new patients

Locations

2722 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-0626

1780 Old Highway 41 NW
Kennesaw, GA 30152
Phone (770) 427-7256

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

Organizations & group practices 2

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": "1255824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1922334465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 BROOKS RACKLEY RD",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301579241",
            "telephone_number": "678-923-4578",
            "fax_number": "406-259-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 BROOKS RACKLEY RD",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301579241",
            "telephone_number": "678-923-4578",
            "fax_number": "406-259-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERTI",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "credential": "MA, LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-18",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-42501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

Verify at the official NPI Registry.