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AMANDA TANNER LCMHC
NPI 1124417746
Counselor - Mental Health in Burlington, VT

Active since January 20, 2015PECOS EnrolledAccepts Medicare Assignment
1138 PINE ST, BURLINGTON, VT 05401(802) 488-6600(802) 488-6919 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amanda Tanner Lcmhc NPPES

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

AMANDA TANNER LCMHC (NPI 1124417746) is an individual mental health provider in Burlington, Vermont, licensed in Vermont (0680105341) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (2011).

NPPES Registry Identity

NPI1124417746
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA TANNERCredential: LCMHC
Location Address1138 PINE STBurlington, VT 05401-5353
Mailing Address102 S Winooski AveBurlington, VT 05401-7406 · (802) 488-6920 · Fax (802) 488-6919
Phone(802) 488-6600
Fax(802) 488-6919
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2011
Enumeration DateJanuary 20, 2015
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1124417746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VT · 0680105341
1138 PINE ST, Burlington, VT 05401
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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 and accepts Medicare assignment

Amanda Tanner Lcmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062862352
PECOS Enrollment IDI20231228003314
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 20

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

CHRISTINA VETTER RAISANEN BCBA
Behavior Analyst
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6000
SHANNON KADISH LICSW
Social Worker (Clinical)
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6600
ELYZA MOORE LICSW
Social Worker (Clinical)
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6000
ELLYN LEAMON LICSW
Social Worker (Clinical)
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 863-1326
LORA GIGUERE
Community Health Worker
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6000
ANDREA FINE
Student in an Organized Health Care Education/Training Program
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6000
ADAM FROWINE LICSW
Social Worker (Clinical)
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6000
CHRISTOPHER SPODICK
Community Health Worker
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6000

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 Tanner's NPI number?

The NPI number for Amanda Tanner is 1124417746. It was assigned to this individual provider in the NPPES registry on January 20, 2015.

Where is Amanda Tanner located?

Amanda Tanner practices at 1138 Pine St, Burlington, VT 05401. The listed phone number is (802) 488-6600.

What is Amanda Tanner's specialty?

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

Is Amanda Tanner enrolled in Medicare?

Yes. Amanda Tanner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amanda Tanner was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.