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AMANDA JO SAMUDIO LPCCCA
NPI 1497133359
Counselor - Professional in Lexington, KY

Active since May 12, 2015
3439 BUCKHORN DR, SUITE 160, LEXINGTON, KY 40515(859) 721-1636 Get Directions Write a Review

NPPES record last updated: May 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Jo Samudio Lpccca NPPES

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

AMANDA JO SAMUDIO LPCCCA (NPI 1497133359) is an individual professional provider in Lexington, Kentucky, licensed in Kentucky (LPCCCA00216359) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1497133359
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA JO SAMUDIOCredential: LPCCCA
Location Address3439 BUCKHORN DR, SUITE 160Lexington, KY 40515-1716
Mailing Address3439 Buckhorn Dr, Suite 160Lexington, KY 40515-1716 · (859) 721-1636
Phone(859) 721-1636
Sole ProprietorYes
Enumeration DateMay 12, 2015
✔ NPI 1497133359 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 KY · LPCCCA00216359
3439 BUCKHORN DR, Lexington, KY 40515
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Other Providers at the Same Location NPPES 5

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

DEREK STEWART M.ED, LPCC
Counselor (Mental Health)
3439 BUCKHORN DR
LEXINGTON, KY 40515
Fayette County (859) 271-1634
TUYEN T TRAN M.D.
Emergency Medicine
3439 BUCKHORN DR, SUITE 100
LEXINGTON, KY 40515
Fayette County (859) 368-9874
MISS PAMELA HOLLAND M.D.
Internal Medicine
3439 BUCKHORN DR
LEXINGTON, KY 40515
Fayette County (859) 368-8820
BRIGETTE MCKINLEY PEER SUPPORT
Peer Specialist
3439 BUCKHORN DR, STE. 160
LEXINGTON, KY 40515
Fayette County (859) 721-1634
GREGORY KOPROWSKI LPCA
Counselor (Professional)
3439 BUCKHORN DR, SUITE 100
LEXINGTON, KY 40515
Fayette County (859) 368-8820

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 Samudio's NPI number?

The NPI number for Amanda Samudio is 1497133359. It was assigned to this individual provider in the NPPES registry on May 12, 2015.

Where is Amanda Samudio located?

Amanda Samudio practices at 3439 Buckhorn Dr Suite 160, Lexington, KY 40515. The listed phone number is (859) 721-1636.

What is Amanda Samudio'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 Samudio was last updated on May 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.