AMANDA J COLLISTER LMHC
NPI 1255723623
Counselor - Mental Health in Bartow, FL

Active since February 23, 2015PECOS EnrolledAccepts Medicare Assignment
1239 E MAIN ST, BARTOW, FL 33830(863) 519-0575 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda J Collister Lmhc NPPES

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

AMANDA J COLLISTER LMHC (NPI 1255723623) is an individual mental health provider in Bartow, Florida, licensed in Florida (MH13971) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1255723623
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA J COLLISTERCredential: LMHC
Location Address1239 E MAIN STBartow, FL 33830-5058
Mailing AddressPo Box 1559Bartow, FL 33831-1559
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 23, 2015
Last NPPES UpdateJune 7, 2016
NPI 1255723623 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 FL · MH13971
1239 E MAIN ST, Bartow, FL 33830

Other Identifiers 1

Medicaid016650700FL

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 J Collister Lmhc 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 ID1658721865
PECOS Enrollment IDI20240102000267
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.

Registered Nurse
1239 E MAIN ST
BARTOW, FL 33830
Case Manager/Care Coordinator
1239 E MAIN ST
BARTOW, FL 33830
Licensed Practical Nurse
1239 E MAIN ST
BARTOW, FL 33830
Case Manager/Care Coordinator
1239 E MAIN ST
BARTOW, FL 33830
Case Manager/Care Coordinator
1239 E MAIN ST
BARTOW, FL 33830
Community Health Worker
1239 E MAIN ST
BARTOW, FL 33830
Case Manager/Care Coordinator
1239 E MAIN ST
BARTOW, FL 33830
Case Manager/Care Coordinator
1239 E MAIN ST
BARTOW, FL 33830

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 Collister's NPI number?

The NPI number for Amanda Collister is 1255723623. It was assigned to this individual provider in the NPPES registry on February 23, 2015.

Where is Amanda Collister located?

Amanda Collister practices at 1239 E Main St, Bartow, FL 33830. The listed phone number is (863) 519-0575.

What is Amanda Collister's specialty?

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

Is Amanda Collister enrolled in Medicare?

Yes. Amanda Collister 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 Collister was last updated on June 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.