AMANDA COWART DERHAM LCSW
NPI 1477049930
Counselor - Mental Health in Springfield, MO

Active since July 09, 2018PECOS EnrolledAccepts Medicare Assignment
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804(417) 761-5000(417) 761-5065 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 15, 2019, Sep 6, 2018, Jul 9, 2018 (3 updates tracked since 2018).

About Amanda Cowart Derham Lcsw NPPES

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

AMANDA COWART DERHAM LCSW (NPI 1477049930) is an individual mental health provider in Springfield, Missouri, licensed in Missouri (2006025361) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1477049930
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA COWART DERHAMCredential: LCSW
Location Address1300 E BRADFORD PKWYSpringfield, MO 65804
Mailing Address1300 E Bradford PkwySpringfield, MO 65804-4264 · (417) 761-5000 · Fax (417) 761-5065
Fax(417) 761-5065
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 9, 2018
Last NPPES UpdateJanuary 15, 20193 updates tracked since enumeration
NPI 1477049930 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 in MO · 2006025361
1300 E BRADFORD PKWY, Springfield, MO 65804

Other Names 1

Former Name (1)Amanda Cowart Jones

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amanda Cowart Derham Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183974777
PECOS Enrollment IDI20180830003761
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 20

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

Psychiatry & Neurology (Psychiatry)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Counselor (Professional)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Social Worker (Clinical)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Counselor (Professional)
1300 E BRADFORD PKWY, BURRELL BEHAVIORAL HEALTH
SPRINGFIELD, MO 65804
Counselor (Professional)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Psychiatry & Neurology (Psychiatry)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Counselor (Professional)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Counselor (Professional)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804

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 Derham's NPI number?

The NPI number for Amanda Derham is 1477049930. It was assigned to this individual provider in the NPPES registry on July 9, 2018. The provider is also known as Amanda Cowart Jones.

Where is Amanda Derham located?

Amanda Derham practices at 1300 E Bradford Pkwy, Springfield, MO 65804. The listed phone number is (417) 761-5000.

What is Amanda Derham's specialty?

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

Is Amanda Derham enrolled in Medicare?

Yes. Amanda Derham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amanda Derham accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Amanda Derham 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 Derham was last updated on January 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.