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MRS. AMANDA KATHRYN WILLIS
NPI 1114586617
Social Worker - Clinical in Newark, OH

Active since June 07, 2019PECOS Enrolled

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2023, Dec 2, 2019, Jun 7, 2019 (3 updates tracked since 2019).

About Mrs. Amanda Kathryn Willis NPPES

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

MRS. AMANDA KATHRYN WILLIS (NPI 1114586617) is an individual clinical provider in Newark, Ohio, licensed in Ohio (I.2304393) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114586617
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. AMANDA KATHRYN WILLIS
Location Address59 GRANT STNewark, OH 43055-3939
Mailing Address59 Grant StNewark, OH 43055-3939 · (740) 349-7511
Phone(740) 349-7511
Sole ProprietorNo
Enumeration DateJune 7, 2019
Last NPPES UpdateApril 7, 20233 updates tracked since enumeration
NPPES CertifiedApril 7, 2023
✔ NPI 1114586617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I.2304393
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License S.1904521 (OH)
59 GRANT ST, Newark, OH 43055
Open in Google Maps ↗

Other Names 1

Former Name (1)Amanda Kathryn Hannum

Secondary Practice Locations 2

Location 115 N 3rd St Ste 300Newark, OH 43055-5550 · Phone (740) 349-7511
Location 25665 Hoover RdGrove City, OH 43123-9122 · Phone (614) 875-2371

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

Mrs. Amanda Kathryn Willis 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 Reassignments

2

Medicare enrollment records show Amanda Willis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brighten Up Counseling
23 mi
Social Worker
803 MARKET ST
Zanesville, OH 43701
  • Reassigned Medicare billing, Ohio enrollment
  • 5 clinicians in this Medicare group
NPI 1003545104 (740) 297-4949
National Youth Advocate Program, Inc
76 mi
Community/Behavioral Health
800 MARKET AVE N STE 1600
Canton, OH 44702
  • Reassigned Medicare billing, Ohio enrollment
  • 130 clinicians in this Medicare group
NPI 1679721906 (234) 226-2350

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MAKAYLA K MARTZ M.ED, LPC
Counselor (Mental Health)
59 GRANT ST
NEWARK, OH 43055
Licking County (740) 349-7511
JESSICA GARCIA
Community Health Worker
59 GRANT ST
NEWARK, OH 43055
Licking County (740) 349-7511
MATTHEW HAYDEN
Community Health Worker
59 GRANT ST
NEWARK, OH 43055
Licking County (740) 349-7511
RACHAEL DUNCAN
Social Worker
59 GRANT ST
NEWARK, OH 43055
Licking County (740) 349-7511
SAMUEL ROBERTSON
Community Health Worker
59 GRANT ST
NEWARK, OH 43055
Licking County (740) 349-7511
ALLESSIA DUGAN
Community Health Worker
59 GRANT ST
NEWARK, OH 43055
Licking County (740) 349-7511
MISTY RAGER
Case Manager/Care Coordinator
59 GRANT ST
NEWARK, OH 43055
Licking County (740) 349-7511
NICKOLAS MARTZ M.ED, LPC
Counselor (Mental Health)
59 GRANT ST
NEWARK, OH 43055
Licking County (740) 349-7511

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 Willis's NPI number?

The NPI number for Amanda Willis is 1114586617. It was assigned to this individual provider in the NPPES registry on June 7, 2019. The provider is also known as Amanda Kathryn Hannum.

Where is Amanda Willis located?

Amanda Willis practices at 59 Grant St, Newark, OH 43055. The listed phone number is (740) 349-7511.

What is Amanda Willis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Amanda Willis enrolled in Medicare?

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

Which organizations bill Medicare for Amanda Willis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Willis reassigns Medicare benefits to 2 organizations: Brighten Up Counseling (Zanesville, OH) and National Youth Advocate Program, Inc (Canton, OH). Each 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 Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Willis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 6 other insurers list Amanda Willis 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 Willis was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.