Individual provider Active NPI

Amanda Sminchak, LPCC-S

  • Professional Counselor
  • Columbus, OH
National Provider Identifier
1144345166
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0008469-SUPV Issued in OH
Practice address
655 E Livingston Ave
Columbus, OH 43205-2618
Phone
(614) 722-8200
Fax
(614) 722-4046
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.0008469-SUPV OH Primary

Addresses

Primary practice location

655 E Livingston Ave
Columbus, OH 43205-2618

Mailing address

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000

Other practice location 1

275 W Schrock Rd
Westerville, OH 43081-2874
Phone (614) 355-8230

Other practice location 2

5700 Perimeter Dr
Dublin, OH 43017-3247
Phone (614) 355-9580

Other practice location 3

6435 E Broad St
Columbus, OH 43213-1507
Phone (614) 355-8100

Other practice location 4

495 E Main St
Columbus, OH 43215-5679
Phone (614) 355-8000

Other practice location 5

399 E Main St
Columbus, OH 43215-5384
Phone (614) 355-8550

Other practice location 6

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000

Other practice location 7

187 W Schrock Rd
Westerville, OH 43081-2890
Phone (614) 355-8315

Other names 1

  • Amanda S Marcom Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E.0008469-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Children'S Hospital Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1144345166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E LIVINGSTON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052618",
            "telephone_number": "614-722-8200",
            "fax_number": "614-722-4046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 W Schrock Rd",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430812874",
            "country_code": "US",
            "telephone_number": "614-355-8230",
            "fax_number": "614-355-8301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 Perimeter Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430173247",
            "country_code": "US",
            "telephone_number": "614-355-9580",
            "fax_number": "614-355-8439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6435 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432131507",
            "country_code": "US",
            "telephone_number": "614-355-8100",
            "fax_number": "614-355-8180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "495 E Main St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432155679",
            "country_code": "US",
            "telephone_number": "614-355-8000",
            "fax_number": "614-355-8018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "399 E Main St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432155384",
            "country_code": "US",
            "telephone_number": "614-355-8550",
            "fax_number": "614-355-8593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Childrens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052664",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-3285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "187 W Schrock Rd",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430812890",
            "country_code": "US",
            "telephone_number": "614-355-8315",
            "fax_number": "614-355-8361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMINCHAK",
        "first_name": "AMANDA",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0008469-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MARCOM",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.