AMANDA WADE LPC
NPI 1164136271
Counselor in Pratt, KS

Q: What is Amanda Wade's NPI number?

The NPI number for Amanda Wade is 1164136271. It was assigned to this individual provider in the NPPES registry on January 12, 2023.

Q: What is Amanda Wade's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Wade was last updated on January 12, 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.

Active since January 12, 2023PECOS EnrolledAccepts Medicare Assignment

200 COMMODORE ST, PRATT, KS 67124(620) 450-1163 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Amanda Wade Lpc NPPES

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

AMANDA WADE LPC (NPI 1164136271) is an individual counselor in Pratt, Kansas, licensed in Kansas (LPC3578) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164136271

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameAMANDA WADECredential: LPC

Location Address200 COMMODORE STPratt, KS 67124-2903

Mailing Address200 Commodore StPratt, KS 67124-2903

Phone(620) 450-1163

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 12, 2023

NPPES CertifiedJanuary 12, 2023

✔ NPI 1164136271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in KS · LPC3578

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

200 COMMODORE ST, Pratt, KS 67124

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

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 Wade Lpc 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 ID8224409362

PECOS Enrollment IDI20240108000531

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.

MID KANSAS ANESTHESIA CARE LLC

Nurse Anesthetist, Certified Registered