Amanda Raye Palmer

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401018845 Issued in MI

Practice address

5505 Corporate Dr
Troy, MI 48098-2614

Phone

(313) 224-0715

NPI assigned

Jul 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1073167235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 ALLEN ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202444",
            "telephone_number": "810-407-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 CORPORATE DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480982614",
            "telephone_number": "313-224-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "AMANDA",
        "middle_name": "RAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016693",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401018845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharnita Trice Paige, BS, SST
• Nina Pakzad, OD
• Lakshmi C. Palakurthi, MD
• Palakurthi, PLLC
• Alessandra Vincenza Palazzolo, PA-C
• Monique Palmer
• Sarah Ruth Palmer, LLMSW
• Julia Elizabeth Palombo, PTA
• Qianhui Pan
• Abhilasha Pandey, M.D

• Professional Counselor in Troy, MI
• Providers in Troy, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.