AMANDA TADLOCK ED.S., M.A.
NPI 1659701829
Counselor - Mental Health in Gaston, SC

Active since November 25, 2013PECOS EnrolledAccepts Medicare Assignment
3965 FISH HATCHERY RD, GASTON, SC 29053(803) 755-2261 Get Directions Write a Review

NPPES record last updated: November 25, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Amanda Tadlock Ed.s., M.a. NPPES

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

AMANDA TADLOCK ED.S., M.A. (NPI 1659701829) is an individual mental health provider in Gaston, South Carolina, licensed in Virginia (0701005494) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1659701829
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA TADLOCKCredential: ED.S., M.A.
Location Address3965 FISH HATCHERY RDGaston, SC 29053-9038
Mailing Address301 Palmetto Park BlvdLexington, SC 29072-7872 · (803) 996-1500
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 25, 2013
NPI 1659701829 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 · 0701005494
3965 FISH HATCHERY RD, Gaston, SC 29053

Other Names 1

Former Name (1)Amanda Badger Ed.s., M.a.

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 Tadlock Ed.s., M.a. 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 ID6305378902
PECOS Enrollment IDI20241021004145
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 2

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

Marriage & Family Therapist
3965 FISH HATCHERY RD
GASTON, SC 29053
Counselor (Mental Health)
3965 FISH HATCHERY RD
GASTON, SC 29053

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 Tadlock's NPI number?

The NPI number for Amanda Tadlock is 1659701829. It was assigned to this individual provider in the NPPES registry on November 25, 2013. The provider is also known as Amanda Badger Ed.S., M.A..

Where is Amanda Tadlock located?

Amanda Tadlock practices at 3965 Fish Hatchery Rd, Gaston, SC 29053. The listed phone number is (803) 755-2261.

What is Amanda Tadlock's specialty?

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

Is Amanda Tadlock enrolled in Medicare?

Yes. Amanda Tadlock 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 Tadlock accept?

Health plans from BlueCross BlueShield of South Carolina list Amanda Tadlock 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 Tadlock was last updated on November 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.