Amanda Avery Risley, LPC in Mansfield Center, CT

Amanda Avery Risley, LPC is a medicare enrolled "Counselor - Professional" provider in Mansfield Center, Connecticut. Her current practice location is 10 Higgins Hwy Ste 14, Mansfield Center, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 933-9937.

Amanda Avery Risley is licensed to practice in Connecticut (license number 003082) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427475730.

Contact Information

	Amanda Avery Risley, LPC
	10 Higgins Hwy Ste 14, Mansfield Center, CT 06250-1437
	(860) 933-9937
	(860) 228-8106

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Avery Risley
Gender	Female
Speciality	Counselor - Professional
Location	10 Higgins Hwy Ste 14, Mansfield Center, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427475730
Provider Enumeration Date: 03/25/2014
Last Update Date: 08/07/2024

Medicare PECOS Information:

PECOS PAC ID: 5395286454
Enrollment ID: I20240917003586

Medical Identifiers

Medical identifiers for Amanda Avery Risley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427475730	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	003082 (Connecticut)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Avery Risley allows following entities to bill medicare on her behalf.

Entity Name	Wise Mind Therapy & Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972041267 PECOS PAC ID: 1759822810 Enrollment ID: O20240917003390

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 Avery Risley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Amanda Avery Risley, LPC 10 Higgins Hwy Ste 14, Mansfield Center, CT 06250-1437 Ph: (860) 933-9937	Amanda Avery Risley, LPC 10 Higgins Hwy Ste 14, Mansfield Center, CT 06250-1437 Ph: (860) 933-9937

Reviews and Comments

Counselor in Mansfield Center, CT

Mrs. Christina Leigh Parham, M.A., CCDP, CAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 189 Storrs Rd, Natchaug Hospital, Inc., Mansfield Center, CT 06250 Phone: 860-456-1311
Ms. Janay Gonzales, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 140 N Frontage Rd, Mansfield Center, CT 06250 Phone: 860-456-2261
Peta Lawson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 27 Patriots Sq, Mansfield Center, CT 06250 Phone: 860-752-4249
Johnathan A Simpson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 189 Storrs Rd, Mansfield Center, CT 06250 Phone: 860-423-1016 Fax: 860-423-1109
Alexandra Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Ledgebrook Dr, Mansfield Center, CT 06250 Phone: 860-456-0038 Fax: 860-456-8765
Annelyse Cyr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7b Ledgebrook Dr, Mansfield Center, CT 06250 Phone: 860-456-0038 Fax: 860-456-8765
Annemarie Govardhan, PSYD. Counselor Medicare: Not Enrolled in Medicare Practice Location: 189 Storrs Rd, Mansfield Center, CT 06250 Phone: 860-456-1311

Amanda Avery Risley, LPC - Medicare Counselor in Mansfield Center, CT