Amanda Louise Black, SUDPT - Counselor in Mossyrock, WA

  1. Home
  2. Counselors
  3. WA
  4. Mossyrock
Amanda Louise Black, SUDPT is a Counselor - Addiction (substance Use Disorder) based in Mossyrock, Washington. Amanda Louise Black is licensed to practice in Washington (license number CO61208402) and her current practice location is 230 E State St, Mossyrock, Washington. She can be reached at her office (for appointments etc.) via phone at (360) 266-5585.

NPI number for Amanda Louise Black is 1538941273 and her current mailing address is Po Box 1371, Chehalis, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538941273.

Contact Information

Amanda Louise Black, SUDPT
230 E State St,
Mossyrock, WA 98564-2501
(360) 266-5585
(360) 262-6620

Map and Direction


Healthcare Provider's Profile

Full NameAmanda Louise Black
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location230 E State St, Mossyrock, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1538941273
  • Provider Enumeration Date: 10/17/2023
  • Last Update Date: 10/17/2023

Medical Identifiers

Medical identifiers for Amanda Louise Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538941273NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) CO61208402 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Louise Black is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amanda Louise Black, SUDPT
Po Box 1371,
Chehalis, WA 98532-0340

Ph: (360) 266-5585		Amanda Louise Black, SUDPT
230 E State St,
Mossyrock, WA 98564-2501

Ph: (360) 266-5585

Reviews and Comments


Counselor in Mossyrock, WA

David Richard Baldwin, CP00006153
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 230 East State Street, Mossyrock, WA 98564
Phone: 360-983-3257    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.