Individual provider Active NPI

Amanda Felice

  • Mental Health Counselor
  • Geneva, NY
National Provider Identifier
1063821205
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008876 Issued in NY
Practice address
601B W Washington St
Geneva, NY 14456
Phone
(315) 781-8448
Fax
(315) 781-8444
NPI assigned
Aug 12, 2014
Last updated
Aug 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 008876 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

601B W Washington St
Geneva, NY 14456

Mailing address

601B W Washington St
Geneva, NY 14456-2119
Phone (315) 781-8448

Other practice location 1

31 Thurber Dr
Waterloo, NY 13165-1649
Phone (315) 539-1980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240119003495 NY Practitioner - Mental Health Counselor 0143672626 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008876NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Finger Lakes Community Health Current Accepting new patients
Finger Lakes Community Health CurrentSince Jan 1, 2024 Accepting new patients
Finger Lakes Community Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

601B W Washington St
Geneva, NY 14456
Phone (315) 781-8448

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1063821205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601B W WASHINGTON ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562119",
            "telephone_number": "315-781-8448",
            "fax_number": "315-781-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601B W WASHINGTON ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "14456",
            "telephone_number": "315-781-8448",
            "fax_number": "315-781-8444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Thurber Dr",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "NY",
            "postal_code": "131651649",
            "country_code": "US",
            "telephone_number": "315-539-1980",
            "fax_number": "315-539-1054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELICE",
        "first_name": "AMANDA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008876",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

Verify at the official NPI Registry.