DR. AMANDA DEDIEGO PHD, LPC, NCC, BC-TM
NPI 1992121677
Counselor - Professional in Casper, WY

Active since March 05, 2014PECOS EnrolledAccepts Medicare Assignment
123 W 1ST ST STE 208A, CASPER, WY 82601(307) 234-7419 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Amanda Dediego Phd, Lpc, Ncc, Bc-tm NPPES

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

DR. AMANDA DEDIEGO PHD, LPC, NCC, BC-TM (NPI 1992121677) is an individual professional provider in Casper, Wyoming, licensed in Wyoming (2047) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Knoxville, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1992121677
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. AMANDA DEDIEGOCredential: PHD, LPC, NCC, BC-TM
Location Address123 W 1ST ST STE 208ACasper, WY 82601-2480
Mailing Address123 W 1st St Ste 208aCasper, WY 82601-2480
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 5, 2014
Last NPPES UpdateJune 28, 2022
NPPES CertifiedJune 28, 2022
NPI 1992121677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in WY · 2047 Licensed in CO · 0018339
Also ListedCounselorTaxonomy 101Y00000X
123 W 1ST ST STE 208A, Casper, WY 82601

Secondary Practice Location 1

Location 1813 S Northshore Dr Ste 105Knoxville, TN 37919-7594 · Phone (615) 688-8244

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

Dr. Amanda Dediego Phd, Lpc, Ncc, Bc-tm 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 ID143668582
PECOS Enrollment IDI20240404002645
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.

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 Dediego's NPI number?

The NPI number for Amanda Dediego is 1992121677. It was assigned to this individual provider in the NPPES registry on March 5, 2014.

Where is Amanda Dediego located?

Amanda Dediego practices at 123 W 1st St Ste 208A, Casper, WY 82601. The listed phone number is (307) 234-7419.

What is Amanda Dediego's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Amanda Dediego enrolled in Medicare?

Yes. Amanda Dediego 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.

When was this NPI record last updated?

The NPPES record for Amanda Dediego was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.