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AMANDA OWEN LMFT, LPC
NPI 1053854257
Counselor - Professional in Moultrie, GA

Active since November 21, 2016PECOS Enrolled
719 S MAIN ST, MOULTRIE, GA 31768(229) 456-2022(912) 550-4909 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 30, 2020, Dec 11, 2019, Nov 21, 2016 (3 updates tracked since 2016).

About Amanda Owen Lmft, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA OWEN LMFT, LPC (NPI 1053854257) is an individual professional provider in Moultrie, Georgia, licensed in Georgia (LPC011318) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1053854257
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA OWENCredential: LMFT, LPC
Location Address719 S MAIN STMoultrie, GA 31768-5432
Mailing Address719 S Main StMoultrie, GA 31768-5432 · (229) 456-2022 · Fax (912) 550-4909
Phone(229) 456-2022
Fax(912) 550-4909
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 21, 2016
Last NPPES UpdateSeptember 30, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2020
✔ NPI 1053854257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in GA · LPC011318✔ Licensed in GA · APC005700
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License MFT001803 (GA)
719 S MAIN ST, Moultrie, GA 31768
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Owen Lmft, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951893759
PECOS Enrollment IDI20251119003922
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. GLENN HOWARD RITCHIE LCSW
Social Worker (Clinical)
719 S MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 456-2022

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Owen's NPI number?

The NPI number for Amanda Owen is 1053854257. It was assigned to this individual provider in the NPPES registry on November 21, 2016.

Where is Amanda Owen located?

Amanda Owen practices at 719 S Main St, Moultrie, GA 31768. The listed phone number is (229) 456-2022.

What is Amanda Owen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Amanda Owen enrolled in Medicare?

Yes. Amanda Owen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Owen was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.