AMANDA KNICKERBOCKER LPC
NPI 1487381653
Counselor - Professional in Waymart, PA

Active since August 06, 2022
155 MICAN RD, WAYMART, PA 18472(570) 647-7820 Get Directions Write a Review

NPPES record last updated: August 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amanda Knickerbocker Lpc NPPES

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

AMANDA KNICKERBOCKER LPC (NPI 1487381653) is an individual professional provider in Waymart, Pennsylvania, licensed in Pennsylvania (PC014704) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1487381653
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA KNICKERBOCKERCredential: LPC
Location Address155 MICAN RDWaymart, PA 18472-3034
Mailing Address155 Mican RdWaymart, PA 18472-3034 · (570) 647-7820
Sole ProprietorYes
Enumeration DateAugust 6, 2022
NPPES CertifiedAugust 6, 2022
NPI 1487381653 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 PA · PC014704
155 MICAN RD, Waymart, PA 18472

Other Providers at the Same Location NPPES

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

Counselor (Professional)
155 MICAN RD
WAYMART, PA 18472

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 Knickerbocker's NPI number?

The NPI number for Amanda Knickerbocker is 1487381653. It was assigned to this individual provider in the NPPES registry on August 6, 2022.

Where is Amanda Knickerbocker located?

Amanda Knickerbocker practices at 155 Mican Rd, Waymart, PA 18472. The listed phone number is (570) 647-7820.

What is Amanda Knickerbocker's specialty?

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

When was this NPI record last updated?

The NPPES record for Amanda Knickerbocker was last updated on August 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.