AMANDA HEATHER FLANNERY M.ED, LPC, LICDC
NPI 1619331824
Counselor - Mental Health in Xenia, OH

Q: What is Amanda Flannery's NPI number?

The NPI number for Amanda Flannery is 1619331824. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Q: What is Amanda Flannery's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Flannery was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 13, 2016PECOS Enrolled

452 W MARKET ST, XENIA, OH 45385(937) 376-8700(937) 376-8725 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2019, Jul 25, 2019 (2 updates tracked since 2019).

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About Amanda Heather Flannery M.ed, Lpc, Licdc NPPES

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

AMANDA HEATHER FLANNERY M.ED, LPC, LICDC (NPI 1619331824) is an individual mental health provider in Xenia, Ohio, licensed in Ohio (1600051) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1619331824

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameAMANDA HEATHER FLANNERYCredential: M.ED, LPC, LICDC

Location Address452 W MARKET STXenia, OH 45385-2815

Mailing Address452 W Market StXenia, OH 45385-2815 · (937) 376-8700 · Fax (937) 376-8725

Phone(937) 376-8700

Fax(937) 376-8725

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateApril 13, 2016

Last NPPES UpdateSeptember 29, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2023

✔ NPI 1619331824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OH · 1600051

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 140760 (OH)

452 W MARKET ST, Xenia, OH 45385

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Secondary Practice Locations 2

Location 1313 Chillicothe AveHillsboro, OH 45133-7378 · Phone (937) 393-4562 · Fax (937) 393-2506

Location 250 W Techne Center Dr, Suite B-5Milford, OH 45150-8403 · Phone (513) 753-9964 ext. 291 · Fax (513) 753-9968

Other Identifiers 2

Medicaid0222303OH

Medicaid137OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Heather Flannery M.ed, Lpc, Licdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032689161

PECOS Enrollment IDI20260529000852

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.

NIKITA TRIMBLE

Counselor (Addiction (Substance Use Disorder))