MRS. AMANDA KAY BLUE (NPI# 1023302650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023302650 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA KAY BLUE |
| Practice Address |
1531 West Main Tishomingo OK 73460 |
| Mailing Address |
Po Box 194 Milburn OK 73450-0194 |
| Practice Telephone | 5803718719 |
| Mailing Telephone | 5803718719 |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2011-05-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811286917 | Amanda Kathryn Blue | Social Worker | 1800 Halls Carriage Path, Westlake, OH 44145-2031 | 2011-03-30 |
| 1770009565 | Amanda Elizabeth Blue | Registered Nurse | 3180 Thomasina Mcpherson Blvd, North Charleston, SC 29405-8283 | 2017-08-14 |
| 1326298282 | Amanda Blue | Case Manager/Care Coordinator | 2420 Linwood Dr Ste 1, Paragould, AR 72450-6122 | 2008-09-26 |
| Street Address |
1531 WEST MAIN |
| City | TISHOMINGO |
| State | OK |
| Zip Code | 73460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912380742 | Lori Pigg | Speech-Language Pathologist | 508 N. Neshoba, Tishomingo, OK 73460 | 2015-06-29 |
| 1407241748 | Brittany Walker | Case Management | 850 E. Highway 22, Tishomingo, OK 73460 | 2015-04-03 |
| 1427460641 | Elizabeth Mcdonald | Counselor | 512 East 24th, Tishomingo, OK 73460 | 2014-05-22 |
| 1619387131 | Sheri Slaughter | Counselor | 102 N. Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1336559848 | Heather Marlatt | Counselor | 102 North Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1811231939 | Wanda Luann Beesley Gray | Emergency Medical Technician, Paramedic | 3100 E St Hwy 78, Tishomingo, OK 73460 | 2012-11-15 |
| 1497014724 | Jessica Kay Johnston | Counselor | Outpatient Services-tishomingo; 817 E. 6th St., Strong Family Development, Tishomingo, OK 73460 | 2012-05-07 |
| 1487910949 | Rhonda Gayle Harrison | Counselor | 817 E. 6th St., Medical Family Therapy, Tishomingo, OK 73460 | 2012-04-09 |
| 1265704183 | Parks Family Dental | Preferred Provider Organization | 1520 E. Main Street, Tishomingo, OK 73460 | 2012-02-08 |
| 1770852295 | Gina Marice Frazier | Social Worker | Outpatient Services- Tishomingo, 817 E. 6th St., Tishomingo, OK 73460 | 2011-12-29 |
| Find all providers in zip 73460 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619387131 | Sheri Slaughter | Counselor | 102 N. Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1336559848 | Heather Marlatt | Counselor | 102 North Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1073958211 | Cody Don Stephens | Counselor | 501 N Fisher St Apt 9, Tishomingo, OK 73460-1318 | 2013-05-01 |
| 1902107857 | Terri Dawn Claborn | Counselor | 201 S Murray, Tishomingo, OK 73460 | 2010-11-09 |
| 1902123862 | Hunter Ty Hull | Counselor | 2205 E Cedar Ridge Rd, Tishomingo, OK 73460-4019 | 2010-04-30 |
| 1053515320 | Sharon G Teafatiller | Counselor | 610 E. 24th, Tishomingo, OK 73460 | 2007-06-12 |
| 1639201759 | Casey Powers | Counselor | Medical Family Therapy, 817 E. 6th St., Tishomingo, OK 73460 | 2007-03-12 |
| 1558989806 | Abbey Nixon | Counselor | 201 S Murray St, Tishomingo, OK 73460-2224 | 2020-07-13 |
| 1366009797 | Angela Lagene Morgan | Counselor | 504 E 24th St, Tishomingo, OK 73460-3214 | 2019-05-21 |
| 1235696089 | Malynda Cobb | Counselor | 504 E 24th St, Tishomingo, OK 73460-3214 | 2019-02-28 |
| Find all providers in TISHOMINGO | ||||
| City | TISHOMINGO |
| Zip Code | 73460 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.