NPI 1124483102 · live from the CMS NPI Registry
Amanda Blair, Ed.S., LPC, SPS,NCSP
Counselor in Jonesboro, AR. National Provider Identifier 1124483102, active.
NPI record
| NPI | 1124483102 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor 101Y00000X |
| Practice location | 2800 Browns Ln, Jonesboro, AR 72401 |
| Practice phone | 870-501-5060 |
| Mailing address | 4504 Antosh Cir Unit 2, Jonesboro, AR 72404 |
| Enumerated | December 17, 2015 |
| Last updated | September 19, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | P1602016 (AR) |
| Counselor primary | 101Y00000X | P1602016 (AR) |
| Psychologist, School | 103TS0200X | 10051133 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.