AMANDA TALLEY MA, LPC
NPI 1174175947
Counselor - Professional in Dallas, TX

Active since July 11, 2019Opted out of Medicare · through Jun 25, 2028
6600 LBJ FWY STE 240, DALLAS, TX 75240(214) 707-7239 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Amanda Talley Ma, Lpc NPPES

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

AMANDA TALLEY MA, LPC (NPI 1174175947) is an individual professional provider in Dallas, Texas, licensed in Texas (73318) and active in the NPI registry since July 2019. She has opted out of Medicare through June 25, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174175947
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA TALLEYCredential: MA, LPC
Location Address6600 LBJ FWY STE 240Dallas, TX 75240-6550
Mailing Address7001 W Parker Rd Apt 931Plano, TX 75093-8620 · (214) 707-7239
Sole ProprietorNo
Enumeration DateJuly 11, 2019
NPI 1174175947 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 TX · 73318
6600 LBJ FWY STE 240, Dallas, TX 75240

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Amanda Talley Ma, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 25, 2024 through June 25, 2028.

Opt-Out Effective DateJune 25, 2024
Opt-Out In Effect ThroughJune 25, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
6600 LBJ FWY STE 240
DALLAS, TX 75240
Counselor (Professional)
6600 LBJ FWY STE 240
DALLAS, TX 75240
Psychologist (Clinical)
6600 LBJ FWY STE 240
DALLAS, TX 75240
Counselor (Professional)
6600 LBJ FWY STE 240
DALLAS, TX 75240

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 Talley's NPI number?

The NPI number for Amanda Talley is 1174175947. It was assigned to this individual provider in the NPPES registry on July 11, 2019.

Where is Amanda Talley located?

Amanda Talley practices at 6600 Lbj Fwy Ste 240, Dallas, TX 75240. The listed phone number is (214) 707-7239.

What is Amanda Talley's specialty?

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

Is Amanda Talley enrolled in Medicare?

No. Amanda Talley has opted out of Medicare through June 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Amanda Talley was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.