Amy Stoller, LCMHC, NCC, MS, EDS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3718 Issued in NC

Practice address

4803 White Horse Dr
Greensboro, NC 27410-9546

Phone

(336) 337-8718

NPI assigned

Nov 6, 2023

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

Other names 1

• Amy Santor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1174396758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 WHITE HORSE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109546",
            "telephone_number": "336-337-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 WHITE HORSE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109546",
            "telephone_number": "336-337-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLLER",
        "first_name": "AMY",
        "credential": "LCMHC, NCC, MS, EDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "3718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SANTOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Destiny Stockton
• Keria Stockton, BSN, RN
• Tanyah Stockton
• Michelle Elizabeth Stoisits, LCSWA
• Tonya Adams Stokes, RD,LDN
• Caitlin Stone
• Christine Stone, PT
• Elizabeth Collons Stone
• Megan Stone, LCSWA
• Stonebraker'S Inc.

• Mental Health Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.