Individual provider Active NPI

Amanda Dunbar, MS, LMHC

  • Mental Health Counselor
National Provider Identifier
1992299523
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2225 Issued in NH
Practice address
75 Railroad Ave.
Unit B4
Epping, NEW HAMPSHIRE 03042
UM
Phone
(603) 318-2635
NPI assigned
Jun 18, 2018
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 2225 NH Primary
Cognitive & Behavioral Psychologist 103TB0200X 2225 NH
Nutrition Education Nutritionist 133NN1002X

Addresses

Primary practice location

75 Railroad Ave.
Unit B4
Epping, NEW HAMPSHIRE 03042
UM

Mailing address

75 Railroad Ave Unit B4
Epping, NH 03042-3540
Phone (603) 780-4960

Other names 1

  • Amanda Kulbacki Former name

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
2225NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Holistics, LLC Cognitive & Behavioral CurrentSince Mar 1, 2021 Accepting new patients
The Mental Health Center of Greater Manchester PastSince Jul 28, 2010 Accepting new patients

Locations

75 Railroad Ave
Unit B4
Epping, NH 03042
Phone (603) 318-2635

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1992299523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 RAILROAD AVE UNIT B4",
            "city": "EPPING",
            "state": "NH",
            "postal_code": "030423540",
            "telephone_number": "603-780-4960"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "75 RAILROAD AVE.",
            "address_2": "UNIT B4",
            "city": "EPPING",
            "state": "NEW HAMPSHIRE",
            "postal_code": "03042",
            "telephone_number": "603-318-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNBAR",
        "first_name": "AMANDA",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2225",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NH",
            "license": "2225",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "KULBACKI",
            "credential": "MS, LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.