| Amanda Birdsall, MA, LMHC | |
|
811 Madison St, Everett, WA 98203-4543 | |
| (425) 212-4200 | |
| (425) 212-4201 |
| Full Name | Amanda Birdsall |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 24 Years |
| Location | 811 Madison St, Everett, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700351616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | MC60877601 (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | LH61111747 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mindful Therapy Group Pc | 4981872561 | 440 |
| Entity Name | Mindful Therapy Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Birdsall, MA, LMHC Po Box 2569, Everett, WA 98213-0569 Ph: (425) 212-4200 | Amanda Birdsall, MA, LMHC 811 Madison St, Everett, WA 98203-4543 Ph: (425) 212-4200 |
Melissa Anne Toner, MHT3,AAC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 4526 Federal Ave, Everett, WA 98203 Phone: 425-349-6200 | |
Mr. David Merritt Hicks, CO60131166 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2610 Wetmore Ave, Everett, WA 98201 Phone: 425-258-5270 Fax: 425-258-5275 | |
Sydney Kathrine Thorne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2610 Wetmore Ave, Everett, WA 98201 Phone: 425-258-5270 Fax: 425-258-5275 | |
Jolie Rae Heck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3322 Broadway, Everett, WA 98201 Phone: 425-349-7289 | |
Janelle Saville, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 811 Madison St, Everett, WA 98203 Phone: 425-212-4200 Fax: 425-212-4297 | |
Cheryl Carp, Counselor Medicare: Accepting Medicare Assignments Practice Location: 3000 Rockefeller Ave # Ms 305, Everett, WA 98201 Phone: 425-388-7214 | |
Ashley Dyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 811 Madison St, Everett, WA 98203 Phone: 425-212-4200 |