MRS. AMANDA NOELLE ROE (LCMFT) – Marriage & Family Therapist, NPI 1104259811

MRS. AMANDA NOELLE ROE (LCMFT) is a healthcare provider. based in Winfield, Kansas. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials LCMFT. They hold a License No. 2513 (KS). The NPI Number for MRS. AMANDA NOELLE ROE (LCMFT) is 1104259811

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMANDA NOELLE ROE (LCMFT)
NPI
1104259811
Phone
(620) 719-8229
Address
104 1/2 W 9TH AVE
Enumeration Date
16 August 2013
Last Update Date
21 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6207198229
Graduation Year
2013 (13 years ago)
PAC ID
7315433521
Group Practice PAC ID
8325534530
Professional Enrollment ID
I20260109000687
Address ID
KS671562817WI207XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Digital endpointsOther names

163 MARRIAGE AND FAMILY THERAPIST in KS

Provider Addresses for MRS. AMANDA NOELLE ROE (LCMFT)

  • 104 1/2 W 9TH AVE

    432

    WINFIELD, KS 671562853

    Phone: (620) 719-8229

    Fax: (620) 229-8124

    Type: Mailing

  • 207 E 9TH AVE

    WINFIELD, KS 671562817

    Phone: (620) 719-8229

    Fax: (620) 229-8124

    Type: Mailing

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: 2026-01-09

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
I20260109000687IMarriage And Family TherapistKSTBD

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 67156)

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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: 8325534530View full group profile
NameSpecialtyState
Marriage And Family TherapistKS
Marriage And Family TherapistKS

Reviews

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Frequently asked questions

What is the registry number for MRS. AMANDA NOELLE ROE (LCMFT)?
The registry entry for MRS. AMANDA NOELLE ROE (LCMFT) shows NPI 1104259811.
Does the public listing show MRS. AMANDA NOELLE ROE (LCMFT) as active?
MRS. AMANDA NOELLE ROE (LCMFT)'s NPI record reflects an active status in NPPES.
How should patients interpret MRS. AMANDA NOELLE ROE (LCMFT)'s specialty?
The extract shows Marriage & Family Therapist for MRS. AMANDA NOELLE ROE (LCMFT). Clinical services aligned with this taxonomy classification.
What city is tied to MRS. AMANDA NOELLE ROE (LCMFT)?
The directory associates MRS. AMANDA NOELLE ROE (LCMFT) with Winfield, Kansas. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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