AMANDA FLETCHER FEAGLE MA, LPCC
NPI 1215402656
Counselor - Professional in Centennial, CO

Q: What is Amanda Feagle's NPI number?

The NPI number for Amanda Feagle is 1215402656. It was assigned to this individual provider in the NPPES registry on October 12, 2018.

Q: What is Amanda Feagle's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Feagle was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 October 12, 2018PECOS EnrolledAccepts Medicare Assignment

13111 E BRIARWOOD AVE STE 260, CENTENNIAL, CO 80112(303) 730-8858 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2020, Oct 2, 2019, Oct 12, 2018 (3 updates tracked since 2018).

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About Amanda Fletcher Feagle Ma, Lpcc NPPES

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

AMANDA FLETCHER FEAGLE MA, LPCC (NPI 1215402656) is an individual professional provider in Centennial, Colorado, licensed in Colorado (LPC.0016489) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Centennial, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1215402656

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameAMANDA FLETCHER FEAGLECredential: MA, LPCC

Location Address13111 E BRIARWOOD AVE STE 260Centennial, CO 80112-3926

Mailing Address6860 S Clarkson StCentennial, CO 80122-1214 · (314) 775-9832

Phone(303) 730-8858

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 12, 2018

Last NPPES UpdateOctober 20, 20203 updates tracked since enumeration

NPPES CertifiedOctober 20, 2020

✔ NPI 1215402656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CO · LPC.0016489

Also ListedCounselorTaxonomy 101Y00000X · License 0016246 (CO)

13111 E BRIARWOOD AVE STE 260, Centennial, CO 80112

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Secondary Practice Location 1

Location 17286 S Yosemite St Ste 125Centennial, CO 80112-2209 · Phone (303) 824-5866

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 Fletcher Feagle Ma, Lpcc 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 ID2961851977

PECOS Enrollment IDI20231214003639

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 9

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

ARAPAHOE MENTAL HEALTH CENTER, INC

Clinic/Center (Primary Care)