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AMANDA DAWN CLARK
NPI 1518838846
Counselor - Mental Health in Lynchburg, VA

Active since September 17, 2025PECOS Enrolled
1621 ENTERPRISE DR, LYNCHBURG, VA 24502(434) 376-2006 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Amanda Dawn Clark NPPES

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

AMANDA DAWN CLARK (NPI 1518838846) is an individual mental health provider in Lynchburg, Virginia, licensed in Virginia (0701015379) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1518838846
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA DAWN CLARK
Location Address1621 ENTERPRISE DRLynchburg, VA 24502-5797
Mailing Address1621 Enterprise DrLynchburg, VA 24502-5797 · (434) 376-2006
Phone(434) 376-2006
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 17, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedSeptember 17, 2025
✔ NPI 1518838846 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 VA · 0701015379
1621 ENTERPRISE DR, Lynchburg, VA 24502
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Dawn Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638669856
PECOS Enrollment IDI20251106002659
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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Patrick Henry Family Services Operations
Same address
Mental Health
1621 ENTERPRISE DR
Lynchburg, VA 24502
  • Reassigned Medicare billing, Virginia enrollment
  • 11 clinicians in this Medicare group
NPI 1033724216 (434) 376-2006

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

MARTHA LEE CASHEL
Counselor (Professional)
1621 ENTERPRISE DR
LYNCHBURG, VA 24502
Lynchburg City (434) 376-2006
PATRICK HENRY FAMILY SERVICES OPERATIONS
Counselor (Mental Health)
1621 ENTERPRISE DR
LYNCHBURG, VA 24502
Lynchburg City (434) 376-2006
CHELE J WEIGLEIN LPC
Counselor (Professional)
1621 ENTERPRISE DR
LYNCHBURG, VA 24502
Lynchburg City (434) 376-2006
MICHAELA MOREL LPC
Counselor (Professional)
1621 ENTERPRISE DR
LYNCHBURG, VA 24502
Lynchburg City (434) 376-2006
MARY BOYETTE
Counselor (Mental Health)
1621 ENTERPRISE DR
LYNCHBURG, VA 24502
Lynchburg City (276) 237-4554
MRS. JENNIFER LEIGH OWEN LPC, NCC
Counselor (Professional)
1621 ENTERPRISE DR
LYNCHBURG, VA 24502
Lynchburg City (434) 239-4949
AVERY VIA LPC
Counselor (Professional)
1621 ENTERPRISE DR
LYNCHBURG, VA 24502
Lynchburg City (434) 376-2006

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 Clark's NPI number?

The NPI number for Amanda Clark is 1518838846. It was assigned to this individual provider in the NPPES registry on September 17, 2025.

Where is Amanda Clark located?

Amanda Clark practices at 1621 Enterprise Dr, Lynchburg, VA 24502. The listed phone number is (434) 376-2006.

What is Amanda Clark's specialty?

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

Is Amanda Clark enrolled in Medicare?

Yes. Amanda Clark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Clark reassigns Medicare benefits to Patrick Henry Family Services Operations (Lynchburg, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Clark was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.