Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Rose Raven Waddell, LCMHC

Individual provider Mental Health Counselor · NPI 1861033052

Amy Rose Raven Waddell, LCMHC is a Mental Health Counselor in Manchester, New Hampshire. Qualified in 2019, 7 years ago. Practices with The Mental Health Center of Greater Manchester, a 87-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2 Wall St Ste 400
Manchester, NH 03101-1518
Phone: (603) 668-4111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Mental Health Counselor Taxonomy 101YM0800X · Licence 6401017758 (MI)

Record details

NPI number1861033052
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC
Sole proprietorNo
NPI enumeratedSeptember 30, 2019
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice The Mental Health Center Of Greater Manchester — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Manchester