Individual Healthcare Provider
Amanda Forister, MS
Provider's NPPES record last updated: June 18, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1063914869
- Primary Specialty
- Counselor — Mental Health
- Practice Location
- Ormond Beach, Florida
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 12:14 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Counselor
Mental Health
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YM0800X Behavior Analyst
Behavioral Health & Social Service Providers
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Taxonomy code 103K00000X
Provider-Reported License Information
- Counselor (Florida)
- MH24302
- Counselor (Wyoming)
- PPC-1056
- Counselor (Wyoming)
- LPC1828
- Behavior Analyst (Florida)
- MH24302
Practice Locations
Practice Location
200 E Granada Blvd Ste D
Ormond Beach, Florida 32176-6694
Phone: (307) 257-2331
Additional Practice Location
319 Oak Fern Cir
Ormond Beach, Florida 32174-4875
Phone: (307) 363-2250
Additional Practice Location
812 E 4th St
Gillette, Wyoming 82716-4033
Phone: (307) 682-2013
Fax: (307) 683-2968
Additional Practice Location
542 Running W Dr
Gillette, Wyoming 82718-2074
Phone: (307) 257-2331
Fax: (307) 670-8042
Additional Practice Location
12724 Gran Bay Pkwy W Ste 410
Jacksonville, Florida 32258-9486
Phone: (855) 832-6727
Fax: (772) 675-9100
Record Information
- Enumeration Date
- March 7, 2018
- Provider's NPPES Record Last Updated
- June 18, 2025
- Certification Date
- June 18, 2025
- NPISignal NPPES Dataset
- August 2026
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