Active NPI
Amanda Kathryn Smith, LMHC
- Mental Health Counselor
- Oviedo, FL
National Provider Identifier
1043355647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH9016
- Practice address
- 15 Windsormere Way
Suite 300
Oviedo, FL 32765-6507 - Phone
- (407) 625-5314
- Fax
- (866) 547-0169
- NPI assigned
- Feb 21, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH9016 | FL | Primary |
Addresses
Primary practice location
15 Windsormere Way
Suite 300
Oviedo, FL 32765-6507
Mailing address
4149 Derby PL
Oviedo, FL 32765-7561
Phone (407) 625-5314
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH9016 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336694400000",
"number": "1043355647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4149 DERBY PL",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327657561",
"telephone_number": "407-625-5314",
"fax_number": "866-547-0169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 WINDSORMERE WAY",
"address_2": "SUITE 300",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327656507",
"telephone_number": "407-625-5314",
"fax_number": "866-547-0169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "AMANDA",
"middle_name": "KATHRYN",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2012-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH9016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.