AMANDA MCKINNON (LPC) – Mental Health Counselor, NPI 1053157115

AMANDA MCKINNON (LPC) is a healthcare provider. based in Clanton, Alabama. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. LPC05258 (AL). The NPI Number for AMANDA MCKINNON (LPC) is 1053157115

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA MCKINNON (LPC)
NPI
1053157115
Phone
(205) 294-2509
Address
523 COUNTY ROAD 55
Enumeration Date
8 July 2024
Last Update Date
8 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2057555933
Graduation Year
1997 (29 years ago)
PAC ID
1052840303
Group Practice PAC ID
7315911344
Professional Enrollment ID
I20250130003989
Address ID
AL350452332CL110XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

390 MENTAL HEALTH COUNSELOR in AL

Provider Addresses for AMANDA MCKINNON (LPC)

  • 523 COUNTY ROAD 55

    CLANTON, AL 350464835

    Phone: (205) 294-2509

    Type: Mailing

  • 1305 10TH AVE STE E

    CALERA, AL 350406229

    Phone: (205) 294-2509

    Fax: (205) 690-8314

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250130003989IMental Health CounselorALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35046)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315911344View full group profile
NameSpecialtyState
Nurse PractitionerAL
-AL
Clinical Social WorkerAL
P S Y C H I A T R YAL
Mental Health CounselorAL
Mental Health CounselorAL

Reviews

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Frequently asked questions

How do payers reference AMANDA MCKINNON (LPC)?
For AMANDA MCKINNON (LPC), use NPI 1053157115 as the unique 10-digit identifier.
Is AMANDA MCKINNON (LPC) still an active registrant?
AMANDA MCKINNON (LPC) carries an active NPI according to the public dataset.
How would a patient describe AMANDA MCKINNON (LPC)'s focus?
For AMANDA MCKINNON (LPC), the primary taxonomy reads as Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with AMANDA MCKINNON (LPC)?
Directory geography for AMANDA MCKINNON (LPC) centers on Clanton, Alabama.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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