MS. AMANDA BOLIN LMHC
NPI 1295418911
Counselor - Mental Health in Hamburg, NY

Q: What is Amanda Bolin's NPI number?

The NPI number for Amanda Bolin is 1295418911. It was assigned to this individual provider in the NPPES registry on August 9, 2023.

Q: What is Amanda Bolin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Bolin was last updated on August 9, 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 August 09, 2023PECOS Enrolled

42 LAKE ST STE D, HAMBURG, NY 14075(716) 410-5390(716) 422-9011 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Ms. Amanda Bolin Lmhc NPPES

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

MS. AMANDA BOLIN LMHC (NPI 1295418911) is an individual mental health provider in Hamburg, New York, licensed in (123820-01) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1295418911

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. AMANDA BOLINCredential: LMHC

Location Address42 LAKE ST STE DHamburg, NY 14075-4937

Mailing Address42 Lake St Ste DHamburg, NY 14075-4937 · (716) 410-5390 · Fax (716) 422-9011

Phone(716) 410-5390

Fax(716) 422-9011

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 9, 2023

NPPES CertifiedAugust 9, 2023

✔ NPI 1295418911 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 · 123820-01

42 LAKE ST STE D, Hamburg, NY 14075

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Amanda Bolin Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446736029

PECOS Enrollment IDI20260114000719

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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Bolin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southtowns Mental Health Counseling PC

Same address

Mental Health

38 LAKE ST
Hamburg, NY 14075

Reassigned Medicare billing, New York enrollment
4 clinicians in this Medicare group

NPI 1306411244 (716) 410-5390

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

JASON SHEAR LMHC-P

Counselor (Mental Health)

42 LAKE ST STE D
HAMBURG, NY 14075

Erie County (716) 410-0164

SHELLY HARRIS RN

Registered Nurse

42 LAKE ST STE D
HAMBURG, NY 14075

Erie County (716) 410-5390

BRANDON E DRUMMOND LMHC

Counselor (Professional)

42 LAKE ST STE D
HAMBURG, NY 14075

Erie County (716) 397-6633

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 Bolin's NPI number?

The NPI number for Amanda Bolin is 1295418911. It was assigned to this individual provider in the NPPES registry on August 9, 2023.

Where is Amanda Bolin located?

Amanda Bolin practices at 42 Lake St Ste D, Hamburg, NY 14075. The listed phone number is (716) 410-5390.

What is Amanda Bolin's specialty?

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

Is Amanda Bolin enrolled in Medicare?

Yes. Amanda Bolin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Bolin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Bolin reassigns Medicare benefits to Southtowns Mental Health Counseling PC (Hamburg, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Bolin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Bolin was last updated on August 9, 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.