AMANDA EDWARDS (LPC) – Professional Counselor, NPI 1942759899
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,232 MENTAL HEALTH COUNSELOR in MO
Provider Addresses for AMANDA EDWARDS (LPC)
1800 Madison 257
Fredericktown, MO 636458273
Phone: (573) 783-4400
Fax: (573) 783-4409
Type: Location
1085 Maple St
Farmington, MO 636401955
Phone: (573) 756-5353
Type: Location
650 TRADE CENTRE WAY STE 140
PORTAGE, MI 490020411
Phone: (517) 882-2732
Type: Mailing
13, Clay Street, Flat River, Park Hills, St. Francois County, Missouri, 63601, United States
PARK HILLS, MO 636012561
Phone: (573) 783-4400
Fax: (573) 783-4409
Type: Mailing
Fredericktown, Madison County, Missouri, 63645, United States
FREDERICKTOWN, MO 636458273
Phone: (573) 783-4400
Fax: (573) 783-4409
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: 2025-09-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250228000678 | I | Mental Health Counselor | MI | TBD |
| I20250924003521 | I | Mental Health Counselor | MO | TBD |
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.
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 63645)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | TX | |
| Clinical Social Worker | TX | |
| Mental Health Counselor | PA | |
| Mental Health Counselor | GA | |
| Mental Health Counselor | GA | |
| Clinical Social Worker | MA | |
| Mental Health Counselor | TX | |
| Mental Health Counselor | PA | |
| Clinical Social Worker | MI | |
| Mental Health Counselor | GA |
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