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Amanda Walden

Counselor β€’ Dothan, AL

Active NPI 1407621907 Individual Practitioner Female Practitioner
Practice location in NPPES

5565 Montgomery Hwy
Dothan, AL 363031552

Call 3347902489 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5565 Montgomery Hwy

Dothan, AL 363031552

Telephone 3347902489
Organization at the Same NPPES Address or Phone
Dothan Pediatric Clinic, P. A. Facility NPI 1457027955

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Dothan and Alabama

24 active clinicians are listed under Counselor with a practice address in Dothan, AL (908 in Alabama).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dothan

0% of these 24 clinicians have the CMS telehealth indicator.

12.5% of these 24 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-02-14
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES AL ALC05182

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES GA APC009343
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alabama State Board of Medical Examiners.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Heather Choat , MD

Pediatrics - Pediatric Endocrinology

NPI 1750729737

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location February 14, 2025

Registered at 5565 MONTGOMERY HWY, DOTHAN, AL 363031552 (Tel: 3347902489)

πŸ“
Updated Business Mailing Address February 14, 2025

Registered at 300 CORONADA ST, ENTERPRISE, AL 363304506 (Tel: 8502749082)

βœ…
NPI Profile Active November 15, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 15, 2023

Registered at 2480 WINDY HILL RD SE STE 210, MARIETTA, GA 300678644 (Tel: 7708186257)

πŸ“
Business Mailing Address (Initial Record) November 15, 2023

Registered at 4838 CABOOSE LN NW, ACWORTH, GA 301023490 (Tel: 8502749082)

πŸ‘€
Provider Name / Credentials (Initial Record) November 15, 2023

Recorded as AMANDA WALDEN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2023

Counselor (license number reported to NPPES: GA APC009343)

🟒
Initial NPI Registration & Enumeration November 15, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407621907
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2023
Last Update: February 14, 2025
Sole Proprietor: Yes

Mailing Address

300 Coronada St

Enterprise, AL 363304506

Phone: 8502749082

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.