AMANDA CORDOVA LPC- S
NPI 1407246770
Counselor - Professional in Nacogdoches, TX

Active since January 26, 2015Opted out of Medicare · through Feb 14, 2028
115 N UNIVERSITY DR STE A, NACOGDOCHES, TX 75961(936) 371-1172(866) 598-3817 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2023, May 13, 2022 (2 updates tracked since 2022).

About Amanda Cordova Lpc- S NPPES

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

AMANDA CORDOVA LPC- S (NPI 1407246770) is an individual professional provider in Nacogdoches, Texas, licensed in Texas (61122) and active in the NPI registry since January 2015. She has opted out of Medicare through February 14, 2028 and maintains a secondary practice location in Nacogdoches.

NPPES Registry Identity

NPI1407246770
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA CORDOVACredential: LPC- S
Location Address115 N UNIVERSITY DR STE ANacogdoches, TX 75961-5126
Mailing Address115 N University Dr Ste ANacogdoches, TX 75961-5126 · (936) 371-1172 · Fax (866) 598-3817
Fax(866) 598-3817
Sole ProprietorYes
Enumeration DateJanuary 26, 2015
Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
NPI 1407246770 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 TX · 61122
115 N UNIVERSITY DR STE A, Nacogdoches, TX 75961

Secondary Practice Location 1

Location 12214 N Pecan StNacogdoches, TX 75965-3502 · Phone (936) 560-6855

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 Cordova Lpc- S 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 February 14, 2024 through February 14, 2028.

Opt-Out Effective DateFebruary 14, 2024
Opt-Out In Effect ThroughFebruary 14, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Counselor (Professional)
115 N UNIVERSITY DR STE A
NACOGDOCHES, TX 75961
Counselor (Professional)
115 N UNIVERSITY DR STE A
NACOGDOCHES, TX 75961
Counselor (Professional)
115 N UNIVERSITY DR STE A
NACOGDOCHES, TX 75961
Counselor (Professional)
115 N UNIVERSITY DR STE A
NACOGDOCHES, TX 75961

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 Cordova's NPI number?

The NPI number for Amanda Cordova is 1407246770. It was assigned to this individual provider in the NPPES registry on January 26, 2015.

Where is Amanda Cordova located?

Amanda Cordova practices at 115 N University Dr Ste A, Nacogdoches, TX 75961. The listed phone number is (936) 371-1172.

What is Amanda Cordova's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Amanda Cordova enrolled in Medicare?

No. Amanda Cordova has opted out of Medicare through February 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Amanda Cordova accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Amanda Cordova as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Cordova was last updated on July 27, 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.