AMANDA MARIE WILLIS (NPI# 1407466923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407466923 |
| Entity Type | Individual |
| Full Name | AMANDA MARIE WILLIS |
| Credential | LAC |
| Practice Address |
700 S Main St Mountain Home AR 72653-4445 |
| Mailing Address |
1815 Pleasant Grove Rd Jonesboro AR 72405-7870 |
| Practice Telephone | 8704251041 |
| Mailing Telephone | 8709336886 |
| Mailing Fax Number | 8709339395 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | A2007093 | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427428192 | Amanda Willis | Physical Therapy Assistant | 3014 W William Cannon Dr Apt 1134, Austin, TX 78745-5025 | 2015-10-06 |
| 1750906467 | Amanda L Willis | Psychologist | 6439 Garners Ferry Rd Bldg 106, Columbia, SC 29209-1638 | 2020-06-09 |
| 1114586617 | Amanda Kathryn Willis | Social Worker | 15 N 3rd St Ste 300, Newark, OH 43055-5550 | 2019-06-07 |
| 1013429240 | Amanda Warnecke Willis | Social Worker | 199 S Central Ave, Columbus, OH 43223-1301 | 2017-10-27 |
| 1174948780 | Amanda Willis | Occupational Therapist | 1108 Airport Blvd, Suite A, Pensacola, FL 32504-8628 | 2014-02-19 |
| 1952651275 | Amanda Willis | Physical Therapist | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 | 2012-09-13 |
| 1710106059 | Amanda Lea Willis | Pediatrics | 1122 N Topeka St, Wichita, KS 67214-2810 | 2007-04-25 |
| Street Address |
700 S MAIN ST |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-4445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869019 | Johnathon Daniel Brown | Case Manager/Care Coordinator | 700 S Main St, Mountain Home, AR 72653-4445 | 2019-09-11 |
| 1912465659 | Truitt James Pierce | Case Manager/Care Coordinator | 700 S Main St, Mountain Home, AR 72653-4445 | 2019-03-12 |
| 1942778170 | Phyllis Jean Gabriel | Case Manager/Care Coordinator | 700 S Main St, Mountain Home, AR 72653-4445 | 2018-11-06 |
| 1316415540 | Audrey Marie Tobin | Case Manager/Care Coordinator | 700 S Main St, Mountain Home, AR 72653-4445 | 2018-11-06 |
| 1720561905 | Tamra L Curry | Case Manager/Care Coordinator | 700 S Main St, Mountain Home, AR 72653-4445 | 2018-09-13 |
| 1447742523 | Samantha Lane Acklin | Social Worker | 700 S Main St, Mountain Home, AR 72653-4445 | 2018-06-04 |
| 1407132434 | Christopher Gordon | Counselor | 700 S Main St, Mountain Home, AR 72653-4445 | 2011-10-21 |
| 1194030718 | Leah Elizabeth Bufford | Case Manager/Care Coordinator | 700 S Main St, Mountain Home, AR 72653-4445 | 2010-08-09 |
| 1912238932 | Pamelia Sullins | Case Manager/Care Coordinator | 700 S Main St, Mountain Home, AR 72653-4445 | 2010-01-15 |
| 1245479328 | Denise Lauerman | Case Manager/Care Coordinator | 700 S Main St, Mountain Home, AR 72653-4445 | 2009-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| 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 |
|---|---|---|---|---|
| 1184236408 | Heather Rogero | Counselor | 990 Northpointe Dr, Mountain Home, AR 72653-8126 | 2020-08-18 |
| 1659783413 | Shiloh Stephens | Counselor | 140 E 2nd N, Mountain Home, ID 83647-2711 | 2014-05-28 |
| 1629309232 | Joyce Marie Parker | Counselor | 706 S Main St Ste 2, Mountain Home, AR 72653 | 2010-01-21 |
| 1417105339 | Allynn Marie Saathoff | Counselor | 727 Highway 62 E, Ste 4, Mountain Home, AR 72653-3209 | 2008-09-04 |
| 1124508486 | Christopher Leeton Luna | Counselor | 315 W 6th St, Mountain Home, AR 72653-3509 | 2018-08-16 |
| 1881102200 | Heather Cobb | Counselor | 315 W 6th St, Mountain Home, AR 72653-3509 | 2018-01-19 |
| 1518310812 | Megan Stramaglia | Counselor | 315 W 6th St, Mountain Home, AR 72653-3509 | 2016-07-21 |
| 1336591866 | Jennifer Bauss | Counselor | 315 W 6th St, Mountain Home, AR 72653-3509 | 2016-07-08 |
| 1700238235 | Jacie Woods | Counselor | 315 W 6th St, Mountain Home, AR 72653-3509 | 2016-07-08 |
| 1306297379 | Jessica Harris | Counselor | 2420 American Legion Blvd, Mountain Home, ID 83647-3146 | 2016-06-30 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
Please comment or provide details below to improve the information on AMANDA MARIE WILLIS.
| 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.