AMANDA OLDER (NPI# 1689021974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689021974 |
| Entity Type | Individual |
| Full Name | AMANDA OLDER |
| Credential | TLMHC |
| Practice Address |
205 Washington St Ste 200 Burlington IA 52601-5261 |
| Practice Telephone | 3192081280 |
| Mailing Telephone | 3192081280 |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
080882 | IA | Behavioral Health & Social Service Providers |
| Street Address |
205 WASHINGTON ST STE 200 |
| City | BURLINGTON |
| State | IA |
| Zip Code | 52601-5261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285977934 | Theresa Reckling | Marriage & Family Therapist | 205 Washington St Ste 200, Burlington, IA 52601-5261 | 2013-04-01 |
| 1184068546 | Tracey Burgus | Counselor | 205 Washington St Ste 200, Burlington, IA 52601-5261 | 2013-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033748017 | Quentin Eugene Hill | Technician | 528 South 7th St, Burlington, IA 52601 | 2020-04-02 |
| 1619320645 | Alisa Nicole Smith | Social Worker | 409 N. 4th St., Burlington, IA 52601 | 2016-07-14 |
| 1568870020 | Denise Reichman | Registered Nurse | 2509 Sunrise Ln, Burlington, IA 52601 | 2014-07-29 |
| 1891131355 | Ainsley Joyce Fedler | Speech-Language Pathologist | 9302 Glenmark Drive, Burlington, IA 52601 | 2013-05-10 |
| 1851640932 | Melissa A Rupp | Optometrist | 1035 Lawrence Drive, Suite 106, Burlington, IA 52601 | 2012-09-05 |
| 1508123068 | Advanced Home Health Care | Home Health | 550 S. Roosevelt, Burlington, IA 52601 | 2012-04-20 |
| 1144591926 | David Eric Johnson | Pharmacist | 201 South Central, Burlington, IA 52601 | 2012-01-25 |
| 1548537525 | Michael James Colgan | Pharmacist | 3245 Agency Street, Burlington, IA 52601 | 2011-11-19 |
| 1881971190 | Elaine Frances Lehman | Counselor | 724 North 3rd St., Burlington, IA 52601 | 2011-11-15 |
| 1992086508 | Jacqueline Gwen Robbins | Counselor | 4715 Sullivan Slough Road, Burlington, IA 52601 | 2011-09-09 |
| Find all providers in zip 52601 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950984 | Keith Edward Smith | Counselor | 288 Flynn Ave Apt 26, Burlington, VT 05401-5370 | 2020-07-29 |
| 1528677325 | Gavin B Chadwell | Counselor | 337 College St Ste G, Burlington, VT 05401-8344 | 2020-07-28 |
| 1407473549 | Christine Borzumato-gainey | Counselor | 3643 Liberty Dr, Burlington, NC 27215-9387 | 2020-07-05 |
| 1669096434 | Callie Douglass | Counselor | 337 College St, Burlington, VT 05401-8344 | 2020-06-08 |
| 1144870742 | Amy Cronin | Counselor | 20 Oak St Apt 2, Burlington, VT 05401-2828 | 2019-09-16 |
| 1760948251 | Path Integrated Healthcare | Counselor | 125 College St Ste 300, Burlington, VT 05401-8444 | 2019-02-20 |
| 1255800082 | William Hayes Davenport | Counselor | 269 Pearl St Ste 4, Burlington, VT 05401-8536 | 2018-11-22 |
| 1821574443 | Dana Rochelle Hays | Counselor | 6272 Woodcrest Dr, Burlington, KY 41005-8444 | 2018-07-17 |
| 1265937650 | Jennifer L Kerns | Counselor | 269 Pearl St Ste 3, Burlington, VT 05401-8536 | 2018-03-27 |
| 1205335130 | Lynn Ruth Martin | Counselor | 130 Mansfield Ave Apt 201, Burlington, VT 05401-3396 | 2018-02-06 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 52601 |
Please comment or provide details below to improve the information on AMANDA OLDER.
| 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.