Individual provider Active NPI

Amanda Johnson

  • Professional Counselor
  • State College, PA
National Provider Identifier
1134675226
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC013004 Issued in PA
Practice address
1951 Pine Hall Rd Ste 100
State College, PA 16801-5107
Phone
(814) 248-5855
NPI assigned
Aug 29, 2016
Last updated
Jul 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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 TPMC6107 FL
Professional Counselor 101YP2500X PC013004 PA Primary

Addresses

Primary practice location

1951 Pine Hall Rd Ste 100
State College, PA 16801-5107

Mailing address

168 Wilshire Blvd
Johnstown, PA 15905-5900

Other practice location 1

217 Eisenhower Blvd Ste 208
Johnstown, PA 15905-3631
Phone (814) 248-5855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20260126001965 PA Practitioner - Mental Health Counselor 8426535022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Analaigh Counseling and Mediation ServicesGroup PAC ID 3375990609, 2 clinicians

Practice addresses (Care Compare)

2620 Constitution Blvd
Suite 202
Beaver Falls, PA 15010-1278
Phone (724) 201-9796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH23587FLMDMental Health Counselor
PC013004PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Analaigh Counseling and Mediation Services CurrentSince Jan 15, 2026 Accepting new patients
Rhoads to Wellness, LLC Professional CurrentSince Mar 11, 2025 Accepting new patients

Locations

2620 Constitution Blvd
Ste 202
Beaver Falls, PA 15010
Phone (724) 201-9796

217 Eisenhower Blvd
Ste 208
Johnstown, PA 15905
Phone (814) 248-5855

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": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1134675226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 WILSHIRE BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159055900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 PINE HALL RD STE 100",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015107",
            "telephone_number": "814-248-5855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Eisenhower Blvd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159053631",
            "country_code": "US",
            "telephone_number": "814-248-5855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC6107",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.