AMANDA GILLIAM
NPI 1912611468
Peer Specialist in South Shore, KY

Q: What is Amanda Gilliam's NPI number?

The NPI number for Amanda Gilliam is 1912611468. It was assigned to this individual provider in the NPPES registry on January 10, 2023.

Q: What is Amanda Gilliam's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Gilliam was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since January 10, 2023

472 MAIN ST, SOUTH SHORE, KY 41175(866) 233-1955 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2025, Feb 28, 2025, Jan 10, 2023 (3 updates tracked since 2023).

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About Amanda Gilliam NPPES

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

AMANDA GILLIAM (NPI 1912611468) is an individual peer specialist in South Shore, Kentucky, licensed in Kentucky (299658) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1912611468

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameAMANDA GILLIAM

Location Address472 MAIN STSouth Shore, KY 41175-9558

Mailing AddressPo Box 790Ashland, KY 41105-0790 · (606) 329-8588

Phone(866) 233-1955

Sole ProprietorNo

Enumeration DateJanuary 10, 2023

Last NPPES UpdateJune 10, 20253 updates tracked since enumeration

NPPES CertifiedJune 10, 2025

✔ NPI 1912611468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in KY · 299658

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

472 MAIN ST, South Shore, KY 41175

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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.

SHANALEE J BRANHAM

Counselor (Professional)

472 MAIN ST
SOUTH SHORE, KY 41175

Greenup County (866) 233-1955

KAYLEE FLANNERY

Counselor (Addiction (Substance Use Disorder))

472 MAIN ST
SOUTH SHORE, KY 41175

Greenup County (866) 233-1955

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 Gilliam's NPI number?

The NPI number for Amanda Gilliam is 1912611468. It was assigned to this individual provider in the NPPES registry on January 10, 2023.

Where is Amanda Gilliam located?

Amanda Gilliam practices at 472 Main St, South Shore, KY 41175. The listed phone number is (866) 233-1955.

What is Amanda Gilliam's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Amanda Gilliam was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.