Amanda Nichole Cunningham, B.S. SAC-IT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

20661-130 Issued in WI

Practice address

203 W Sunny LN
Janesville, WI 53546-9091

Phone

(608) 741-4515

Fax

(608) 741-4516

NPI assigned

Dec 19, 2024

Last updated

Dec 19, 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 1

Addresses

Other names 1

• Amanda Nichole Rowe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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.

• Rock Valley Community Programs, Inc.

  dba Compass Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Janesville, WI
  • NPI 1134306293
  NPD

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1952119224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 CHAPIN ST",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535116437",
            "telephone_number": "608-481-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W SUNNY LN",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535469091",
            "telephone_number": "608-741-4515",
            "fax_number": "608-741-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "AMANDA",
        "middle_name": "NICHOLE",
        "credential": "B.S. SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "20661-130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "ROWE",
            "middle_name": "NICHOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marlo M Crump, LPC-IT
• Haley A Cullen, LPC, SAC
• Jessica Cullen
• John A Culp, MD
• Cultivating Wellness Services
• John Currie
• Stephanie R Curtis, PA-C
• Rebecca L. Custer, DPT
• David Cyprus
• Aleksandra Maria Czyz, OD

• Addiction (Substance Use Disorder) Counselor in Janesville, WI
• Providers in Janesville, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.