Amanda Joan Overocker, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6516 Issued in NC

Practice address

425 Spring Garden St
Greensboro, NC 27401-2733

Phone

(336) 379-0199

Fax

(336) 574-1139

NPI assigned

Mar 31, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Mandie Joan Overocker Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hopeful Change Counseling, PLLC

  • Community/Behavioral Health Agency
  • Mebane, NC
  • NPI 1255832523
  NPD (past)

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1992825939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 BLAIRWOOD STREET",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27265",
            "telephone_number": "336-202-2582",
            "fax_number": "336-574-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 SPRING GARDEN ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012733",
            "telephone_number": "336-379-0199",
            "fax_number": "336-574-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVEROCKER",
        "first_name": "AMANDA",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "6516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103620",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDIE",
            "last_name": "OVEROCKER",
            "middle_name": "JOAN",
            "prefix": "MS.",
            "credential": "LPC, NCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jessica Moser Oughton, MSW, LCSW
• Brandon Earl Outlaw, MSW, LCSWA
• William Marcus Outlaw, MD
• Outward Bound One, LLC
• Carley Overman, OTR/L
• Joan Overstreet
• Sherri Dawn Overstreet, M.ED., CCC-SLP
• Jackson Lonnie Overturf, PA-C
• Danielle Owen, ITFS
• Abby Smith Owenby, LCMHC

• Professional Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; 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.