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MS. AMANDA FORISTER MS
NPI 1063914869
Counselor - Mental Health in Ormond Beach, FL

Active since March 07, 2018PECOS Enrolled
200 E GRANADA BLVD STE D, ORMOND BEACH, FL 32176(307) 257-2331(307) 670-8042 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 18, 2025, Nov 5, 2024, Oct 11, 2024 and 1 more (4 updates tracked since 2018).

About Ms. Amanda Forister Ms NPPES

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

MS. AMANDA FORISTER MS (NPI 1063914869) is an individual mental health provider in Ormond Beach, Florida, licensed in Florida (MH24302) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1063914869
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. AMANDA FORISTERCredential: MS
Location Address200 E GRANADA BLVD STE DOrmond Beach, FL 32176-6694
Mailing Address319 Oak Fern CirOrmond Beach, FL 32174-4875 · (307) 363-2250
Phone(307) 257-2331
Fax(307) 670-8042
Sole ProprietorNo
Enumeration DateMarch 7, 2018
Last NPPES UpdateJune 18, 20254 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1063914869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in FL · MH24302✔ Licensed in WY · PPC-1056✔ Licensed in WY · LPC1828
Also ListedBehavior AnalystTaxonomy 103K00000X · License MH24302 (FL)
200 E GRANADA BLVD STE D, Ormond Beach, FL 32176
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1319 Oak Fern CirOrmond Beach, FL 32174-4875 · Phone (307) 363-2250
Location 2812 E 4th StGillette, WY 82716-4033 · Phone (307) 682-2013 ext. 103 · Fax (307) 683-2968
Location 3542 Running W DrGillette, WY 82718-2074 · Phone (307) 257-2331 · Fax (307) 670-8042
Location 412724 Gran Bay Pkwy W Ste 410Jacksonville, FL 32258-9486 · Phone (855) 832-6727 · Fax (772) 675-9100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Amanda Forister Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Forister reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Atlas Therapy LLC
1,694 mi
Mental Health
542 RUNNING W DR
Gillette, WY 82718
  • Reassigned Medicare billing, Florida and Wyoming enrollments
  • 2 clinicians in this Medicare group
NPI 1073028494 (307) 257-2331

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Forister's NPI number?

The NPI number for Amanda Forister is 1063914869. It was assigned to this individual provider in the NPPES registry on March 7, 2018.

Where is Amanda Forister located?

Amanda Forister practices at 200 E Granada Blvd Ste D, Ormond Beach, FL 32176. The listed phone number is (307) 257-2331.

What is Amanda Forister's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Amanda Forister enrolled in Medicare?

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

Which organization bills Medicare for Amanda Forister's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Forister reassigns Medicare benefits to Atlas Therapy LLC (Gillette, WY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Forister's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Forister accept?

Health plans from Blue Cross Blue Shield of Wyoming, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Amanda Forister as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Forister was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.