AMANDA JERNIGAN SHANKS


Address: 6845 Fairview Rd, Charlotte, NC 28210-3363
Phone: 7049952365

AMANDA JERNIGAN SHANKS (NPI# 1275771461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275771461
Entity Type Individual
Full Name AMANDA JERNIGAN SHANKS
Other Name AMANDA MICHELLE JERNIGAN
Credential LPC
Practice Address 6845 Fairview Rd
Charlotte
NC 28210-3363
Practice Telephone 7049952365
Mailing Telephone 7049952365
Enumeration Date 2009-01-27
Last Update Date 2012-04-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Providers AMANDA SHANKS

NPI Name Taxonomy Address Enumeration
1821280694 Amanda Lee Shanks Occupational Therapist 17706 I-30 Ste 3, Benton, AR 72019-2930 2007-08-15

Office Location

Street Address 6845 FAIRVIEW RD
City CHARLOTTE
State NC
Zip Code 28210-3363

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962474205 Carol A. Kolb Counselor 6845 Fairview Rd, Charlotte, NC 28210-3363 2006-02-02
1730558503 Deborah Ann Shumate Counselor 6845 Fairview Rd, Charlotte, NC 28210-3363 2015-09-22
1821379728 Lotes Nelson Counselor 6845 Fairview Rd, Charlotte, NC 28210-3363 2011-09-06
1619298098 Olga Pisarskiy Counselor 6845 Fairview Rd, Charlotte, NC 28210-3363 2010-06-19
1083876411 Lance Boyd Reger Psychiatry & Neurology 6845 Fairview Rd, Charlotte, NC 28210-3363 2008-06-26
1548421753 Frances Pettigrew Snepp Psychologist 6845 Fairview Rd, Charlotte, NC 28210-3363 2008-06-19
1902029739 Charles Edward Butler Social Worker 6845 Fairview Rd, Charlotte, NC 28210-3500 2007-04-10
1780704759 Elizabeth Allen Upchurch Counselor 6845 Fairview Rd, Charlotte, NC 28210-3500 2007-03-31
1942338140 Anne Burling Bowers Counselor 6845 Fairview Rd, Charlotte, NC 28210-3500 2007-03-01
1598838187 Patty Meadows Virkler Counselor 6845 Fairview Rd, Charlotte, NC 28210 2006-11-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952920860 Rx Care 14 LLC Pharmacy 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 2020-04-10
1427697622 David Durant Dinsmore Nurse Anesthetist, Certified Registered Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 2020-01-06
1790256964 Tele Phys Inc Internal Medicine 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 2018-12-16
1104395896 Bridgett Williams Behavior Technician 7806 Andover Woods Drive, Charlotte, NC 28210 2018-11-26
1053880518 Low-t Physicians Professional Association Internal Medicine 10430 Park Road Suite 100a, Charlotte, NC 28210 2018-11-14
1053895102 Carolinas Medical Equipment LLC Durable Medical Equipment & Medical Supplies 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 2018-09-24
1679066658 Afc Urgent Care and Family Care of Wnc, Pllc Clinic/Center 10102 Johnston Rd, Charlotte, NC 28210 2018-06-13
1346777018 Hopeway Foundation Clinic/Center 1717 Sharon Road West, Charlotte, NC 28210 2017-05-12
1891154688 Jessie Lee Ogienko Social Worker 5960 Fairview Rd Ste 328, Charlotte, NC 28210 2016-02-22
1699151985 Carolina Complete Psychiatry, Pllc Physician Assistant 5950 Fairview Road, Suite 708, Charlotte, NC 28210 2015-08-10
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336749324 Wanda V Jones Counselor 11634 Windy Creek Dr Apt H, Charlotte, NC 28262-1923 2020-10-28
1841897667 Latia Edwards Counseling Services Counselor 1224 Kirt Ct, Charlotte, NC 28213-5966 2020-10-05
1932712858 Antoinette Thornton Counselor 2261 Milton Rd, Charlotte, NC 28215-3320 2020-08-29
1457974867 Boniery Bell Counselor 13830 Firenza Cir Apt 202, Charlotte, NC 28273-4426 2020-05-20
1629616982 Nakina Narkay Scott Counselor 5517 River Falls Dr, Charlotte, NC 28215-9674 2019-12-18
1629612981 Counterstep Counseling and Consulting, Pllc Counselor 13534 Plaza Road Ext Ste 114, Charlotte, NC 28215-8921 2019-10-30
1821631193 Ingrid C Gilbert Counselor 6903 Providence Ln W, Charlotte, NC 28226-7751 2019-10-19
1669013041 Pivotal Health Solutions Counselor 15105d John J Delaney Dr Unit 186, Charlotte, NC 28277-2741 2019-10-07
1700447372 Zachary Ryan Campbell Counselor 535 W 7th St Apt 2201, Charlotte, NC 28202-1636 2019-06-25
1366005902 Mitchell Dwight Smtihbey Counselor 8122 Bald Ridge Dr, Charlotte, NC 28227-0316 2019-04-18
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Competitor

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City CHARLOTTE
Zip Code 28210

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Dataset Information

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.

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