AMANDA L WOOLLARD (LCPC) – Professional Counselor, NPI 1972888584

AMANDA L WOOLLARD (LCPC) is a healthcare provider. based in Saint louis, Missouri. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. 2013012287 (MO). The NPI Number for AMANDA L WOOLLARD (LCPC) is 1972888584

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA L WOOLLARD (LCPC)
NPI
1972888584
Phone
(618) 604-8326
Address
8539 TALMA CT
Enumeration Date
14 October 2011
Last Update Date
30 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3147306787
Graduation Year
2007 (19 years ago)
PAC ID
8628415866
Group Practice PAC ID
5890131437
Professional Enrollment ID
I20240325000278
Address ID
MO631291070SA4121XRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

1,232 MENTAL HEALTH COUNSELOR in MO

Provider Addresses for AMANDA L WOOLLARD (LCPC)

  • 8539 TALMA CT

    SAINT LOUIS, MO 631233633

    Phone: (618) 604-8326

    Fax: (314) 730-6585

    Type: Mailing

  • 4121 UNION RD STE 219

    SAINT LOUIS, MO 631291070

    Phone: (314) 730-6787

    Fax: (314) 730-6585

    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: 2024-03-25

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
I20240325000278IMental Health CounselorMOTBD

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 63123)

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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: 5890131437View full group profile
NameSpecialtyState
Mental Health CounselorIL

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Frequently asked questions

Is there an official ID for AMANDA L WOOLLARD (LCPC) in U.S. healthcare records?
The official identifier for AMANDA L WOOLLARD (LCPC) is NPI 1972888584.
Is AMANDA L WOOLLARD (LCPC) still an active registrant?
AMANDA L WOOLLARD (LCPC) carries an active NPI according to the public dataset.
How would a patient describe AMANDA L WOOLLARD (LCPC)'s focus?
For AMANDA L WOOLLARD (LCPC), the primary taxonomy reads as Professional Counselor. Clinical services aligned with this taxonomy classification.
Is AMANDA L WOOLLARD (LCPC) located near Saint Louis?
AMANDA L WOOLLARD (LCPC) currently maps to Saint Louis, Missouri in this extract.
When was this NPI issued?
Enumeration for AMANDA L WOOLLARD (LCPC) is noted as October 14, 2011 where the registry provides it.