Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306604863 Individual Practitioner Female Practitioner

Amanda Elizabeth Tanner , LPCC, NCC

Counselor - Professional • Gallup, NM

Professional Overview & Biography Verified Profile Summary

Amanda Tanner, LPCC, NCC is a registered healthcare professional specializing in Counselor - Professional in Gallup, NM. Practice services are available at 47 MT. MAHOGANY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

47 Mt. Mahogany

Gallup, NM 87301

Telephone 5058799938

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Gallup, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
10 Specialists

Practicing in Gallup, NM (1328 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-06
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License NM CTB-2025-0696

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 06, 2026

Registered at 47 MT. MAHOGANY, GALLUP, NM 87301 (Tel: 5058799938)

👤
Provider Name / Credentials Updated January 02, 2026

Recorded as AMANDA TANNER, LPCC, NCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2026

Counselor (License #CTB-2025-0696 in NM)

NPI Profile Active March 11, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 11, 2024

Registered at 515 PARK AVE, GALLUP, NM 873015806 (Tel: 5058799938)

📍
Updated Business Mailing Address March 11, 2024

Registered at PO BOX 4837, GALLUP, NM 873054837 (Tel: 5058799938)

👤
Provider Name / Credentials Updated March 11, 2024

Recorded as AMANDA TANNER, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2024

Counselor (License #CTB-2023-0077 in NM)

🟢
Initial NPI Registration & Enumeration March 11, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Amanda Tanner. Be the first to share your experience!

Sign in to leave a review for Amanda Tanner

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1306604863
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 11, 2024
Last Update: March 06, 2026
Sole Proprietor: No

Mailing Address

Po Box 4837

Gallup, NM 873054837

Phone: 5058799938

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.