Individual provider Active NPI

Amanda A Pumphrey, MSW

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1962994228
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103788 Issued in TX
Practice address
5939 Harry Hines Blvd
8TH Floor, Ste 124
Dallas, TX 75390
Phone
(901) 413-8294
NPI assigned
Jun 3, 2018
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 103788 TX Primary

Addresses

Primary practice location

5939 Harry Hines Blvd
8TH Floor, Ste 124
Dallas, TX 75390

Mailing address

5939 Harry Hines Blvd
8TH Floor Ste 124
Dallas, TX 75390-0001
Phone (901) 413-8294

Other practice location 1

1 Grant St
Framingham, MA 01702-6764
Phone (508) 834-3100

Other practice location 2

12915 Jones Maltsberger Rd Ste 201
San Antonio, TX 78247-4540
Phone (210) 404-4317

Other names 1

  • Amanda A Verhaak Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260501002733 TX Practitioner - Clinical Social Worker 5698243244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12915 Jones Maltsberger Rd
Suite 201
San Antonio, TX 78247-4255

433 Kitty Hawk Rd
Suite 219
Universal City, TX 78148-3957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103788TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Counseling Center, PLLC Clinical CurrentSince Apr 27, 2026 Accepting new patients

Locations

647 S Seguin Ave
New Braunfels, TX 78130
Phone (210) 404-4317

12915 Jones Maltsberger Rd
Ste 201
San Antonio, TX 78247
Phone (210) 404-4317

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.

NPI Registry JSON

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

{
    "created_epoch": "1527984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1962994228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5939 HARRY HINES BLVD",
            "address_2": "8TH FLOOR STE 124",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753900001",
            "telephone_number": "901-413-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5939 HARRY HINES BLVD",
            "address_2": "8TH FLOOR, STE 124",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75390",
            "telephone_number": "901-413-8294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Grant St",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017026764",
            "country_code": "US",
            "telephone_number": "508-834-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12915 Jones Maltsberger Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782474540",
            "country_code": "US",
            "telephone_number": "210-404-4317",
            "fax_number": "210-817-8722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUMPHREY",
        "first_name": "AMANDA",
        "middle_name": "A",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-03",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "103788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "VERHAAK",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.