AMANDA COTTRELL M.A., NCC, LPC-A
NPI 1356703300
Counselor - Professional in Boone, NC

Active since March 28, 2016Opted out of Medicare · through Jan 3, 2028

NPPES record last updated: February 3, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 3, 2017, Mar 28, 2016 (2 updates tracked since 2016).

About Amanda Cottrell M.a., Ncc, Lpc-a NPPES

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

AMANDA COTTRELL M.A., NCC, LPC-A (NPI 1356703300) is an individual professional provider in Boone, North Carolina, licensed in North Carolina (A11573) and active in the NPI registry since March 2016. She has opted out of Medicare through January 3, 2028.

NPPES Registry Identity

NPI1356703300
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA COTTRELLCredential: M.A., NCC, LPC-A
Location Address369 FOGGY LNBoone, NC 28607-4923
Mailing Address369 Foggy LnBoone, NC 28607-4923
Sole ProprietorYes
Enumeration DateMarch 28, 2016
Last NPPES UpdateFebruary 3, 20172 updates tracked since enumeration
NPI 1356703300 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 NC · A11573
369 FOGGY LN, Boone, NC 28607

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Amanda Cottrell M.a., Ncc, Lpc-a has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 3, 2024 through January 3, 2028.

Opt-Out Effective DateJanuary 3, 2024
Opt-Out In Effect ThroughJanuary 3, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356703300, enumerated as an "individual" on March 28, 2016.

The provider is located at 369 FOGGY LN BOONE, NC 28607 and the phone number is (828) 610-8514.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.