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MRS. AMANDA RAU MCKENNA
NPI 1124756440
Counselor - Professional in Old Saybrook, CT

Active since August 14, 2022PECOS Enrolled
5 SEABREEZE RD, OLD SAYBROOK, CT 06475(860) 209-6165 Get Directions Write a Review

NPPES record last updated: August 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Amanda Rau Mckenna NPPES

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

MRS. AMANDA RAU MCKENNA (NPI 1124756440) is an individual professional provider in Old Saybrook, Connecticut, licensed in Connecticut (005571) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124756440
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. AMANDA RAU MCKENNA
Location Address5 SEABREEZE RDOld Saybrook, CT 06475-2723
Mailing Address5 Seabreeze RdOld Saybrook, CT 06475-2723 · (860) 209-6165
Phone(860) 209-6165
Sole ProprietorYes
Enumeration DateAugust 14, 2022
NPPES CertifiedAugust 14, 2022
✔ NPI 1124756440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 005571
5 SEABREEZE RD, Old Saybrook, CT 06475
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 Rau Mckenna 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 Mckenna reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stokes Counseling Services LLC
38 mi
Professional
16 HILLSIDE AVE
Naugatuck, CT 06770
  • Reassigned Medicare billing, Connecticut enrollment
  • 143 clinicians in this Medicare group
NPI 1134541469 (203) 572-2962

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 Mckenna's NPI number?

The NPI number for Amanda Mckenna is 1124756440. It was assigned to this individual provider in the NPPES registry on August 14, 2022.

Where is Amanda Mckenna located?

Amanda Mckenna practices at 5 Seabreeze Rd, Old Saybrook, CT 06475. The listed phone number is (860) 209-6165.

What is Amanda Mckenna's specialty?

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

Is Amanda Mckenna enrolled in Medicare?

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

Which organization bills Medicare for Amanda Mckenna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Mckenna reassigns Medicare benefits to Stokes Counseling Services LLC (Naugatuck, CT). 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 Mckenna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Mckenna accept?

Health plans from Anthem Blue Cross and Blue Shield list Amanda Mckenna 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 Mckenna was last updated on August 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.