AMANDA WILDER LCMHC
NPI 1316429129
Counselor - Mental Health in Hazard, KY

Q: What is Amanda Wilder's NPI number?

The NPI number for Amanda Wilder is 1316429129. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Q: What is Amanda Wilder'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 Wilder was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 29, 2018PECOS Enrolled

115 ROCKWOOD LN, HAZARD, KY 41701(800) 575-7223(606) 436-5797 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 11, 2022, Nov 27, 2019, Oct 23, 2019 and 1 more (4 updates tracked since 2018).

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About Amanda Wilder Lcmhc NPPES

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

AMANDA WILDER LCMHC (NPI 1316429129) is an individual mental health provider in Hazard, Kentucky, licensed in Kentucky (287211) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316429129

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameAMANDA WILDERCredential: LCMHC

Location Address115 ROCKWOOD LNHazard, KY 41701-9415

Mailing Address115 Rockwood LnHazard, KY 41701-9415 · (800) 575-7223 · Fax (606) 436-5797

Phone(800) 575-7223

Fax(606) 436-5797

Sole ProprietorYes

Enumeration DateAugust 29, 2018

Last NPPES UpdateFebruary 14, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2024

✔ NPI 1316429129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in KY · 287211

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 287221 (KY), A14027 (NC)

115 ROCKWOOD LN, Hazard, KY 41701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Wilder Lcmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Wilder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kentucky River Community Care, Inc

Same address

Mental Health (Including Community Mental Health Center)

115 ROCKWOOD LN
Hazard, KY 41701

Reassigned Medicare billing, Kentucky enrollment
67 clinicians in this Medicare group

NPI 1528017142 (606) 436-4071

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 20

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

PAMELA SORRELL

Counselor