Individual provider Active NPI

Amanda Nicole Wilkerson, M.S., LPC

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1922714468
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11145 Issued in OK
Practice address
10101 S Penn Ave
Oklahoma City, OK 73159-6929
Phone
(405) 740-1249
NPI assigned
Jan 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11145 OK Primary

Addresses

Primary practice location

10101 S Penn Ave
Oklahoma City, OK 73159-6929

Mailing address

PO Box 190
Jones, OK 73049-0190
Phone (405) 740-1249

Other practice location 1

12901 E Britton Rd Ste 200
Jones, OK 73049-7407
Phone (405) 740-1249

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11145OKMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1922714468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "JONES",
            "state": "OK",
            "postal_code": "730490190",
            "telephone_number": "405-740-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 S PENN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596929",
            "telephone_number": "405-740-1249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12901 E Britton Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Jones",
            "state": "OK",
            "postal_code": "730497407",
            "country_code": "US",
            "telephone_number": "405-740-1249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "credential": "M.S., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "11145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.