Individual provider Active NPI

Amanda Rose Lemay, LPCC, LPC

  • Professional Counselor
  • Hudson, WI
National Provider Identifier
1063949113
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1913 Issued in MN
Practice address
901 Dominion Dr
Hudson, WI 54016-9326
Phone
(715) 808-8070
NPI assigned
May 19, 2017
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7268-125 WI
Professional Counselor 101YP2500X 1913 MN Primary

Addresses

Primary practice location

901 Dominion Dr
Hudson, WI 54016-9326

Mailing address

901 Dominion Dr
Hudson, WI 54016-9326
Phone (715) 808-8070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1913MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Everyday Therapy Solutions, Inc Professional CurrentSince Dec 1, 2024 Accepting new patients
Family Innovations, Inc. Professional PastSince May 1, 2019 Accepting new patients

Locations

901 Dominion Dr
Ste A
Hudson, WI 54016
Phone (715) 808-8070

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.amandalemay@149809.advancedmd-direct.com

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, 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": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1063949113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 DOMINION DR",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169326",
            "telephone_number": "715-808-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 DOMINION DR",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169326",
            "telephone_number": "715-808-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMAY",
        "first_name": "AMANDA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "LPCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7268-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

Verify at the official NPI Registry.