Active NPI
Amanda Conley, MA
- Counselor
- Shaker Heights, OH
National Provider Identifier
1003363995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 20600 Chagrin Blvd
Shaker Heights, OH 44122-5327 - Phone
- (216) 299-7736
- NPI assigned
- Sep 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
20600 Chagrin Blvd
Shaker Heights, OH 44122-5327
Mailing address
PO Box 621
Youngstown, OH 44501-0621
Phone (216) 299-7736
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2847496 | Medicaid | OH |
Other names 1
- Miss Amanda Conley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1003363995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 621",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445010621",
"telephone_number": "216-299-7736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20600 CHAGRIN BLVD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441225327",
"telephone_number": "216-299-7736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLEY",
"first_name": "AMANDA",
"name_prefix": "Miss",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-08",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2847496",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "CONLEY",
"prefix": "MISS",
"credential": "MA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Shaker Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.