Amanda Soisson, NCC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

19753 Issued in TX

Practice address

4200 South Fwy
Suite 602
Fort Worth, TX 76115-1400

Phone

(214) 402-8302

Fax

(817) 923-2063

NPI assigned

Aug 31, 2010

Last updated

Oct 31, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Honey a. Sheff PH.D., PC

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  • NPI 1720103583
  NPD (past)
• Ray L. Levy, PH.D., P.C. & Associates

  • Clinical Psychologist
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  • NPI 1790831048
  NPD (past)

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1073820817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17480 DALLAS PKWY",
            "address_2": "SUITE 230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877337",
            "telephone_number": "214-402-8302",
            "fax_number": "972-407-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SOUTH FWY",
            "address_2": "SUITE 602",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761151400",
            "telephone_number": "214-402-8302",
            "fax_number": "817-923-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOISSON",
        "first_name": "AMANDA",
        "credential": "NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Joy Soderdahl, PA-C
• Soft Touch Courier LLC Dba Stick & Move
• Soh of Texas Samson Liu PLLC (Ellis Dental)
• Sharon Soh, LCSW
• Mark Sohner, M.D.
• Sean Sojdie, D.O.
• Sola Senior Care (Amada Senior Care)
• Imran Solaiman, M.D.
• Laura Solano, PA
• Olusegun A Solano, M.D.

• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.