Amanda Young Nibber, LPCC
NPI 1508142977 · Mental Health Counselor · Bolivar, TN
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amanda Young Nibber, LPCC is a Mental Health Counselor provider in Bolivar, TN (NPI 1508142977).
Provider details
- NPI number
- 1508142977
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPCC
- Sex
- Female
- Sole proprietor
- No
- License
- T-0144351 (NM)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 707 Broadway Blvd Ne Ste 500Albuquerque, NM 87102-2367Phone: (505) 268-0701Fax: (270) 689-6677
Registry dates
- Enumerated
- 2011-10-28
- Last updated
- 2024-11-08
- Certified
- 2024-11-08
Frequently asked questions
- What is Amanda Young Nibber's NPI number?
- Amanda Young Nibber's National Provider Identifier (NPI) is 1508142977, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amanda Young Nibber's specialty?
- Amanda Young Nibber is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Amanda Young Nibber located?
- Amanda Young Nibber's practice location on file with NPPES is 10710 Old Highway 64, Bolivar, TN 38008-3587.
- What is Amanda Young Nibber's phone number?
- The practice phone number listed in the NPPES registry for Amanda Young Nibber is (731) 658-6113.
- Does Amanda Young Nibber accept Medicare?
- Amanda Young Nibber is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Amanda Young Nibber's NPI active?
- Yes — Amanda Young Nibber's NPI (1508142977) is active in the NPPES registry as of the last update on 2024-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.