AMANDA L TITTLE LPCC
NPI 1275094708
Counselor - Professional in Alvaton, KY

Q: What is Amanda Tittle's NPI number?

The NPI number for Amanda Tittle is 1275094708. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Q: What is Amanda Tittle'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 Tittle was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 March 27, 2019PECOS Enrolled

6350 OLD SCOTTSVILLE RD, ALVATON, KY 42122(844) 435-0900(270) 858-4029 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2025, Feb 28, 2020 (2 updates tracked since 2020).

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About Amanda L Tittle Lpcc NPPES

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

AMANDA L TITTLE LPCC (NPI 1275094708) is an individual professional provider in Alvaton, Kentucky, licensed in Kentucky (262483) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1275094708

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameAMANDA L TITTLECredential: LPCC

Location Address6350 OLD SCOTTSVILLE RDAlvaton, KY 42122-9767

Mailing AddressPo Box 1080Burkesville, KY 42717-1080 · (270) 858-6655 · Fax (270) 858-4027

Phone(844) 435-0900

Fax(270) 858-4029

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 27, 2019

Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2025

✔ NPI 1275094708 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 KY · 262483

6350 OLD SCOTTSVILLE RD, Alvaton, KY 42122

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda L Tittle Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385149707

PECOS Enrollment IDI20250926000312

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 6

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

TATIANA TOMOVIC LCSW

Social Worker (Clinical)