Individual provider Active NPI

Amanda Lee Hart, LPC

  • Professional Counselor
  • Erie, PA
National Provider Identifier
1003422452
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC011473 Issued in PA
Practice address
3939 W Ridge Rd Ste A204
Erie, PA 16506-1884
Phone
(814) 449-6264
Fax
(814) 286-6840
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC011473 PA Primary

Addresses

Primary practice location

3939 W Ridge Rd Ste A204
Erie, PA 16506-1884

Mailing address

3939 W Ridge Rd Ste A204
Erie, PA 16506-1884
Phone (814) 449-6264

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

State licenses

LicenseStateTypeSpecialty
PC011473PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Counseling and Consulting LLC Professional CurrentSince Sep 10, 2023 Accepting new patients
Parkside Psychological Associates PastSince Sep 1, 2020 Accepting new patients

Locations

3939 W Ridge Rd
Ste A204
Erie, PA 16506
Phone (814) 449-6264

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1003422452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 W RIDGE RD STE A204",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061884",
            "telephone_number": "814-449-6264",
            "fax_number": "814-286-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 W RIDGE RD STE A204",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061884",
            "telephone_number": "814-449-6264",
            "fax_number": "814-286-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.