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AMANDA LEE PETERSON PCC, LICDC
NPI 1902170996
Counselor - Professional in Lebanon, OH

Active since March 08, 2012
975 KINGSVIEW DR, LEBANON, OH 45036(513) 228-7800(513) 228-7848 Get Directions Write a Review

NPPES record last updated: May 8, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Amanda Lee Peterson Pcc, Licdc NPPES

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

AMANDA LEE PETERSON PCC, LICDC (NPI 1902170996) is an individual professional provider in Lebanon, Ohio, licensed in Ohio (E.0800170) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1902170996
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA LEE PETERSONCredential: PCC, LICDC
Location Address975 KINGSVIEW DRLebanon, OH 45036-9562
Mailing Address975 Kingsview Drive, Suite 400Lebanon, OH 45036 · (513) 228-7800 · Fax (513) 228-7848
Phone(513) 228-7800
Fax(513) 228-7848
Sole ProprietorNo
Enumeration DateMarch 8, 2012
Last NPPES UpdateMay 8, 2013
✔ NPI 1902170996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E.0800170
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ICDC.100327 (OH)
975 KINGSVIEW DR, Lebanon, OH 45036
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Other Names 1

Former Name (1)Amanda Lee Fleming Pc, Lcdciii

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.

ADRIENNE CROUCH LPC
Counselor (Professional)
975 KINGSVIEW DR
LEBANON, OH 45036
Warren County (513) 228-7846
OLIVIA MARIE HIMES
Student in an Organized Health Care Education/Training Program
975 KINGSVIEW DR
LEBANON, OH 45036
Warren County (513) 228-7800
JENNIFER WADE PCC-S, LICDC
Counselor (Professional)
975 KINGSVIEW DR
LEBANON, OH 45036
Warren County (513) 228-7800
TOSHA LOUISE CRONE
Case Manager/Care Coordinator
975 KINGSVIEW DR
LEBANON, OH 45036
Warren County (513) 228-7800
KATHERINE R PETERSON QMHP
Case Manager/Care Coordinator
975 KINGSVIEW DR
LEBANON, OH 45036
Warren County (513) 228-7800
HEATHER FOX
Case Manager/Care Coordinator
975 KINGSVIEW DR
LEBANON, OH 45036
Warren County (937) 383-4441
AMBER C PARKER LSW
Social Worker (Clinical)
975 KINGSVIEW DR, BLDG A
LEBANON, OH 45036
Warren County (513) 228-7800
MS. NIKEA L SMITH RN
Registered Nurse
975 KINGSVIEW DR
LEBANON, OH 45036
Warren County (513) 228-7800

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 Peterson's NPI number?

The NPI number for Amanda Peterson is 1902170996. It was assigned to this individual provider in the NPPES registry on March 8, 2012. The provider is also known as Amanda Lee Fleming PC, Lcdciii.

Where is Amanda Peterson located?

Amanda Peterson practices at 975 Kingsview Dr, Lebanon, OH 45036. The listed phone number is (513) 228-7800.

What is Amanda Peterson'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 Peterson was last updated on May 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.